HomeMy WebLinkAboutSUBMITTED PAPERSALL APPLICABLE INFO MUST BE COMPLETEt3t9,§f@PJ�LICATION TO BE ACCEPTED
Date: �� 6y U Permit Number: ( l 6359
St. Lucie County
o `A
Building Permit Application
Planning and Development Services
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 here
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID 8:
Site Plan Name:_
Project Name: _
Setbacks Front
DETAILED DESCRIPTI
C
— Q 10 -- 016 1.-661)-Z
Back:
OF WORK:
CONSTRUCTION INFORMATION:
bona wor [o a er orme un er
C�HVAC Gas Tank
Electric Y-Ftlumbing
Total Sq. Ft of Construction:
Cost of Construction: $
OWNER/�ESSEE:
Address:_ J D
Lot No.
Block No.
Right Side: Left Side:
nm - cnecx air ih�t apply;
Sas Piping Shutters ❑ Windows/Doors
Sprinklers 11 Generator ❑ Roof
City: I L
State: FL
Zip Code: Fax:: _
Phone No. 7i —
E-Mail:
Fill in fee simple Title Holder on next --page if different
from the Owner listed above)
S Ft. of First Floor:
Sewer []septic Building Height:_
CONTRACTOR:
Name: Peter A Cafaro III
Company: Low'e's Homes Centers
Address: p.O.Box 781993
City: Orlando
------- State: FL
Zip Code: 32878-1993
--- Fax:
Phone No. CfA'? - 7p -�7-7
E-Mail:
State or County„ License: CGC1508417
value of construction is $2500 or more, a RECORDED Notice of C p Leeme
nt is
321-2y3-0163
��p - 1° 4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
_
Address:
Address: _
City: State:
City:
Zip: Phone:
_-_State:
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not 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 Amendm t
The following building perm' plications are exempt from undergoing a full concurrency revue : r in additions,
accessory structures, swi in pools, fen es, walls, signs, screen rooms and accessory uses t ano er non-residential use
WARNING TO OWN R: Y ur fai re t Record a Notice of Commencement may r sult' your paying twice for
mprovements [o y ur pr per . A N tice of Commencement must be rec r ed a d post n the jobsi[e
before the first ins ecti0 . 1 you int nd to obtain financing, consult with der o an a orn y before
rommencin wor or re din, you Notice of Commencement.
Signature of Own /Agent/ Lessee
STATE OF FL IDA
COUNTY OF VIGE //
The f r ng i strumel/tfw�ds•p 4owledged before me -
this day f ItNI �V/ VVVVVV 20 -1.1 by
PETER ACAFA" III
I (Name of person acknowleAetrt�7�
U
Signature of Contr for/License Holder
STATE OFI DA
'COUNTY C mE
The ing ins um •) bas nowledgt
fgrgg
this day o , 20
1%E lER A CAf i\RO III
(Name of person acknowle
txore me
by
('Signature of Notary Public- State of FTorida) - ` (Signature ) Notary Public- State bf Florlda I
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced ([�''1
Commission N0. EE I]dIW nlmission No. EE 174161 gT V�lorAiyr�R)I SI eo �ooi,^�(
=od9P,�N n otary Public Slate of Florida '^, KariMRiCCaboni h
KariM Riccaboni yc rA Cmrmissmn'EE 174164
�Tr'16'` n.,.o E+niresnsnanor
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SETA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
---------
REVIEW
-----
DATE
--
COMPLETE
INITIALS
—
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Lowe Rol,,ucc
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JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE R 4017383 OR BOO,' �93 PAGE 2767, Recorded 11/26/2014 -�1:22 AM
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STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
TRUE AND CORRECT PY OF HE
I
H E. SMI
Deputy Clerk
Dale: NOV 2 6 2g
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ST( E COPY
Note: Please see Contract Addenda for a more detailed merchandise and Installation description.
Labor Charges
S 3550.3
Detall Deduction
-$ 75.0
PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees the right to take photographs of all work performed at the Premisis related to this Con-
tract, and irrevocably grants to Lowe's all right, title and interest in and to the photographs for use in all markets and media, worldwide, in perpetuity. Customer
authorizes Lowe's to copyright, use and publish the photographs in print and/or electronically, and agrees that Lowe's may use such photographs for any lawful
purpose, including, but not limited to, marketing, advertising, publicity, illustration, training and Web content. By initialing here, Customer agrees to the forego-
ing. [Customer to initial to the left].
Additional Spec cations: Federal law requires Lowe's to provide you with the pamphlet Renovate Right: Important Lead Hazard Information for Families,
Child Care Providers and Schools. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing
Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit.
NOTICE OF ARBITRATION AGREEMENT
This Contract provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TO GO
TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights will be determined by
a NEUTRAL ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND
MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED RE-
VIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC-
TION ADJUDICATION found in the Terms and Conditions of this Contract.
TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES
e applicable
SUB -TOTAL
$ 8339.1
'TAX
$ 01
DELIVERY
$ O.0
ORDER TOTAL
$ 8339.1
Work Is to commence upon nee/ap�n�e s avallabllay of Contractor and/or any special order or custom made Good(s) which le anticipated to be % U r 7 2U/ [fill In date].
Estimated completion date Is—(,Lr-I�y�!% �/ y IIIII in date].
Said estimated substantial completion date is not of the essence. A statement of any contingencies that would materially change said estimated substantial completion date is as fol.
lows:. ----
_(if applicable, insert a statement of such contingencies).
NOTICE TO CUSTOMER
All items listed in this contract and specification sheets) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this contract form. This assumes sound ex -
Store 240 Project Summary for ARLENE GRUBE Page 2 of 6
ST( E COPY
isting substructures, superstructure and points of attachments. Extra labor or material incident to Installation necessitated by defective substructures, superstructure, points of attachment, or the moving
of fixtures or appliances to be billed at extra cost to customer. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS OF THIS CONTRACT.
BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THIS CONTRACT. YOU ARE
ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE.//�
WITNESS OUR HAND(S) and SEAL(S) BELOW THIS 3 0 DAY OF 044 Ll
Lowe's Home Centers, LLC
By:— 1)&.A �!ilL�I�,CM A --(Sean
Print Name:_ �M .xt rV �� L _
�w /
Address: e^ 1( nr .
n /
CITY:---—.;,/�l�- �State:-_IL— zip:
Owner: h ( (Seat)
Print Name: �\ `� Vl, li I% \ n' .—
Co -Owner Witness:—.-_.— __.___(Seat)
Print
Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this transaction at any time prior to midnight on
the third business day after the date of this transaction. See the attached Notice of Right to Cancel for an explanation of this right.
Store 240 Project Summary for ARLENE GRUBE Page 3 of 6
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
Permit#: SLC1411-0337
BUILDING PERMIT
Online address: httplAwrois0uaeco.org/planning/pennitting.htm
Quick Links:
Permit Status Lookup
Online Building Inspection System
Confirmation #: 231
Issued: 12/4/2014
Job Location: 5047 N A1A City: FORT PIERCE
Permit Type: BUILDING RESIDENTIAL RENOVATION Status: ISS Date Expired: 06104/2015
Job Description: MASTER AND G T BATH RE EMOVE BATH TUB AND INSTALL SHOWERS L.
CEiAND-FAUCET. INSTALL SHOWER DOOR AND GRAB BARS.
Subdiv: ATLANTIC VIEV ri' IEACH CLUB CONDO #1
Lot: Block: Parcel: 1414-610-0102-00012
Setbacks Left: Right: Front: Rear. Zoning: HIRD
Number of Units: 1 Floors: 1 Buildings: 1 Square Footage:
Flood Map: Flood Zone: Elev:
Contractor PETER ANTHONY CAFARO IIh LOWES HOMECENTERS LLC (407) 832-8085
4948 TELLSON PL ORLANDO, FL 32812 ! _
Property Owner ALLEN W GRUBE (rR) (219) 8634937
8848 24th St SW Demotte, IN 46310
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code induding those
for all electric, plumbing, mechanical, roofing and structural work. Further he/she acknowledges responsibility to comply with all requirements of the 2007 Florida
Bulding Code and the St Lucie County Land Deveelopment Code.
Issuance of this permit may be appealed to the St. Lucie county Board of Adjustment by an aggrieved party by filing a notice of appeal with St Lucie County
Growth Management Director within thirty (30) days of the issuance of this permit in accordance with St. Lucie County Land Cevelopment Code, Section
11.11.00., Appeals.
Building Permits shall expire and become null and void ifwork authorized by such Building Permit is not commenced, having called for and received a
satisfactory Inspection within six (6) months from the date of issuance of the permit or if the work is not completed within 18 months (permit by contractor) or 24
months (permit by owner) from the date of issuance of the Building Permit in accordance with St Lucie County Land Development Code Section 11.05.01 (A)(2).
NOTICE: In addition to the requirements of this permit; there may be additional restrictions applicable to this property that may be found in the records of this
county, and there may be additional permits required from other governmental entities such as water management disitricts, state agencies, or federal agencies.
s:553.79(10), F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. a NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE
THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORIDNG
YOU NOTICE OF COMMENCEMENT. s:713.135 (10(a), F.S.
Carl Peterson Date
Building Official
vl�
OFFICE USE ONLY:
DATE FILED: •��
REVISION FEE:
S�q
3t `4c/e�o40
PERMIT # Mt-- L/A j / my
RECEIPT #
PLANNING & DEVELC
BUILDING & CODE RE,
2300 VIRGIN
FORT PIERCE,
(772) 462-1553 Ff
APPLICATION FOR BU
PROJECT
LOCATION/SW N Hwy AIA, Ft. Pierce
ADDRESS:
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
3.
4.
Original Permit was taken out for two (2) Bathroom Remodels Customer ran out of money and
the Master Bath
ion. I ST.. LUCIE COUNTY . , i
FoR cc
REVIEWED 9Y,j
DATE 2
CONTRACTOR INFORMATION: h1UST BE KC•PT ON JOB OR
STATE of FL REG./CERT. #: CGC1508417 ST ILfJ�dhl^grElt~iZ}IW�tLL RCI91�D5
BUSINESS NAME: ters, -
QUALIFIERS NAME- e er . Odium
ADDRESS: YU $ox 781993
CITY: UrIando STATE: ZIP:
37r—
PHONE (DAYTIME): FAX:
OWNER/BUILDER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE:
Allen Grube
5. ARCHITECT/ENGINEER INFORMATION:
NAME:
ADDRESS:
CITY:
PHONE (DAYTI
STATE:
FAX:
FAX:
ZIP:
a�p
Revised 07/222014 c�
p ew wk 32(- Z�/3 - 66 3/
Husband for Rent, Inc.
324 Live Oak Lane, Melbourne, FL 32935-4861
(321) 243-0634 cell/voice mail
Husband4Rent1 @hotmail.com
Paint Contractor # PT 207
Tile Floor Contractor # FT 153
Window & Door Contractor # WD 156
Brevard County Business License # 00995109
St. Lucie County
Building Dept.
2300 Virginia Ave.
Ft. Pierce, FL 34982
772-462-1553
To Whom It May Concern:
June 3, 2015
In Reference to Permit # SLC1411-0337, Allen Grubs, 5047 N Hwy AlA, Ft. Pierce
This permit was originally taken out for two (2) bathroom remodels. They were
identical. The customer ran out of money, and requested only the Master be done,
at this time. The permit is due to expire on June 12t°. I come down to St. Lucie
County, every Thursday, on behalf of Lowe's. This job is complete, and ready for
inspection. Please issue a revision, or an extension, by Thursday, June 11`°, so
Lowe's does not incur any fines or additional fees. Please contact me any time, as
soon as this is ready for pick up. Enclosed, please find my check for $75.00.
Thank you.
Sincerely,
Matthew Schlick
S cA P .e a-� LAJ d g- (
NA-r1-
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4
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Wild ou-*
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r
i<tooievlu io.ao rnn otillizoaf NNNIH COUNTY PLUM6ING
Z 0011001
PERMIT N
ISSUE DATE
PLANNING & DEVELOPv(ENT SERVICES
Building & Code Compliance nivision
BUT LmNG PERMIT
SUB -CONTRACTOR AGREEMENT
St. Luck County Contractor Certification Number: _ 2 Sr 1 3
State o''FloridnCerlifirationNumber(Ifrpp::,.oir, CFC 026530
North County Plumbing, Inc.
have agreed to be the.
(Company Name'1ndrvldual Name) 1 ///�
Plumbing Sub -contractor for Wt(>'�tSIMP 1LLC
(Type Or Tra(le) (Primary Contractor)
For the project located at 5047 North Highway Al A, Fort Pierce , FL
(Project Street Address or Property Tar ID 9)
It is understood that, if there is any change of status regarding our participation with the above tnentioned
project, T will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form; SLCCD',' (No. 004-00)
BUSINESS QUALWWR (Name of :hc h;dividunt sbeisn nn tl;e Con actor's License]
NOTARIZED SIGNATURES ARE REQUIRED
Rusi�css Namc: A 4k 4plym6in�
Address; 9056 North Military Trail, Ste I
City!Statez p. Palm Beach Gardens, FL 33410
Phone:
561-625-9414
SIGNATURE
cmatl: uonrrountyplumong,B9Hotma:Lcom
Anthony F Agrusa 12-3-2014
PRINT NA\'1 B PAT'ii
STATE Or FT•ORIDA, COUNTY OF Palm Beach
THE FOREGOING INSTRUMENT WAS SIGNED BEFOREME TKTTS 31 d DAY OF December
B),. Anthony F Agrusa
PRODUCED
SLCPDS: 05l06!2014
AS
7014
WITO IS PERSONALLI' XNOWN X OR HAS
Melanie Johnson
PRINT NAM( OF NOTARY
MELANIE JOHNSON
14
of Flonda
Notary Pt'E
_ • i
•
My coma . s c. pr 20, 2015
F1f ''�
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,~"�0f�i9°
Commisslon A EE 74567
2ondcdiraoo9hWricnalNmaryAtm.