HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED a
Date:—" I (a SCANNED Permit Number:
BY
s St. Lucie County RECEIVED
o r
Building Permit Application SEP o 5 ?.Dig,
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial _� Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line (oy'.a O
PROPQSED IMPROVEMENT LOCATION _,
Address: 'StD L{ Z t) "'✓ 41 A 70 1
Legal Description: A I (ok �, c_ 1/iw B6;Hcs- Ct io C. ., a. i un.* ZG f
Property Tax ID #: l K I it I &GIO - OC731 • Joo -
Site Plan Name: Pir+rybia C'!K
Project Name:
Setbacks Front Back:
�STaf
Right Side: Left Side:
Lot No.
Block No.
7 -j5lrcl' �7 spa.
°CONSTRUCT ION 'IN FORMATION:
Additional worK to a erTorme un ert Is permit -c ec a 1 app y:
❑HVAC 11 Gas Tank Gas Piping 129shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$'SZ. ers `" UtilitiesSewer E Septic Building Height:
QVVNER/LESS,EE:
CONTRACTOR ;
Name
Name: Peter A'Cafaro 111
Address: -4 J;
Company:: Lowe's Horne Centers, LLC ,.-,
City: iso oot:'e4 :: L. �E i StateN
Zip Code: C'>1 7.2.. Fax: -, •, ;
Phone No. Zo I -?Ofi • 1'2 39
Address: P.O.Box 781993 j
City: Orlando State: FL
Zip Code: 32878-1993 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail:
State or County License: CGC1508417
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPIEMENTAL;CONSTRUCTIQN
UEN IA1N INFORMATION
y
l
_
DESIGN R:�Kk�
Not Applicable
MORTGAGE COMPANY:
[�C Not Applicable
Name
L
Name:
Address: /2�o• .. r ao�w W
7io _
Address:
City: 2. 'l
State: I —
City:
State:
Zip: - 3343Z Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING. COMPANY:
_IL-y4pt Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any,applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improve m entstQyour property. A Notice of Commencement must be/e2bided and posted on the jobsite
before the fir ins ection. Ifya[ritttend to obtain financing, consult ith le der or ar attorney before
commencin work r recordfne vo r Notice of Commencement.
STATE CfF I fLORIDA
COUN O Gang.
Thefo
this
Peter a C
(Name
Personally K
Type oflden
Commission
ee/Contractor as A n far Owner .Sienature A Contractor/License Holder
instrument was acknowledged before me
of �44� k 20 M by
f
X OR Produced Identification
n r
uNary Puolic State of Florida
My Con
Expires
Revised 07/15/2014
STATE Pq FLORIDA
COUN Foaaee
The for of g instrument was acknowledged before me
this_/ yof�20Lq_by
Peter A Cafaro III
(Name of person acknowledging I
-�-} A
(S gnature of faotary Pu lic- State of Florida I
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. Notary Pu�e§�teofFlorida
Karl M Rlccaboni
J My Commission FF 981647
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