HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:� Permit Number:
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RECEIVED MAY 211015
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Building Permit Application
Planning and Development Services l
Building and Code Regulation Division i
2300 Virginia Avenue,Fort Pierce FL 34982 i
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATIOGNr[ FOR:
To`Select from dropbox click here
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Address: f30-0 S LA�Cg.S
Legal Description: 5 �
Property Tax IQ#: 3321 3' �Zq ' O C7C�'9 Lot No. Z 3
Site Plan Name: Block No.
Project Name:
{M�'k� L-.o:N 41 M C4
Setbacks Front Back: Right Side: Left Side: ;
D£TItLEDIESRCRJI'�TN U>`Vtls3RK> Z ,
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£ STI `f �IWA-9Ci1tA'fi��7 � 2 r ,
-Additional war to (epe orme under this permit-c ec a apply:
HVAC L_I Gas Tank Gas Piping _Shutters 1Nindows/Doors
F]Electric Plumbing QSprinkiers FI Generator Roof
Total Sq.Ft of Construction: S . Ft.of First Floor: li
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Cost of Construction:$ Z 55 utilities: Sewer Septic Building Height:
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Name Name Peter Cafarc III
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�c�O1a PIa,aA-A-+i oU LA D r Company: Lowe's Home Centers Inc. j
Address: —
City: O✓'�" �" �...�a State:Fl� Address: P.O. Box 781953
( Zip Code:
3Y98 (10 Fax: City: Orlando State:FL '
Phone No. 95�/-Z_q0 - Cocom ' Zip Code: 32878 Fax: 561-771-0049
E-Mail: Phone No.
772-418-3695
I Fill in fee simple Title Holder on next page(if different E Mail: TPG.-Lpermits@yahoo.com li
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from the Owner listed above) State or County License: CGC15C18417 SLC#22986
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATIO{V
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
14
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: of Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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
improvements to your propert . A Notice of Commencement must be recorded and posted on the jobsite
before the first inspec yo intend to obtain financing, consult with lender or orney before
commencingwort recordi Notice of Commencement.
Signature of / ent/Les a Signature o Contra r/ ' rise Hol
STATE OF FLORI STATE OF FLORI A
COUNTY OF_SLC COUNTY OF sl.c
The fo oing instrument was acknowled ed beforet me The f r oing instrument was acknowledged before me
this� ay of 20by this y of 20 ,by
Peter Cafaro III Peter Cafaro 111
(Name of p ackno ging) (Name of person ac a U'
(Signature of Notary Public-Sta a of Florida) (Signature of'Notary Public-State of Florida }
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �;'�'�'•. (SeRWCH BOCOOK Commission No. `r��� _ BOCOOK
Not PubliC-State of Florida = . �: Notary Public -State of Florida
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Commission#EE 176869Commtss,on a EE 176869Revised 07/15/20VBonded Through National Notary Assn. Bonded Through N�Donal Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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