HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number,r31 ii
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division ,
2300 Virginia Avenue,fort Pierce FL 34982 v
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential ✓i
PERMIT APPLICATION FOR: To Select from dropbox, click here . F.9,-,ee ! !
( RR I�OSEp ItyPR Nfil — ;
Address: k 1D ems. ., C
Legal Description: � � 5
PropertyTax ID#: 34z_tc Lot No. id L4
Site Plan Name: roa-A��w Atn e✓Q Block No.
Project Name: '
Setbacks Front Sack: Right Side: Left Side:
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�tiona wor o e erforme unt er t is permit–c ec a app y: ,• ... + "
HVAC �Gas Tank ❑has Piping Shutters Q Windows/Doors t
t
a Electric �Plumbrng • Sprinklers �Generator �Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor: i
Cost of Construction:$ 1{G 83 Utilities: _Sewer Septic Building Height:
Name PA \.aN� �✓� == —TName: Peter Cafaro III
Address o'i r.ct bei C ; Company: Lowe's Home Centers Inc.
City: 1C �" �►��E
State:FL Address: P.O.Box 781993
Zip Code: 3('fq j 2 Fax: City: Orlando State:FL
f.Phone No. ��/Z– (o� Co3 Zip Code: 32878 Fax: 561-771-0049 i
E-Mail: i Phone No. 772-418-3695
Fill in fee simple Title Holder on next page(if different ' E-Mail: TPG__Lpermits a@yahoo.com '
j from the Owner listed above) State or County License: CGC1508417 SLC#22986
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER. Not Applicable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: Y 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 e• Signature o Contra r/ ' rise Hol
STATE OF FLORI STATE OF FLORI A
COUNTY OF st-C COUNTY OF SLC
The forgoing instrument was acknowled ed beforet me The oing instrument was acknowledge fore me
thisay of "�T,20�by thi ay of 20 by
Peter Cataro III Peter Cafaro 111
(Name of p ackno ging) (Name of person ac ewt>�wig)
(Signature of Notary Public-Sta a of Florida) (Signature of 4otary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
""""'�, ommisson o. gL° BOCO(?K
Commission No. (Se �CH BOCOOK iNo
_°. �.` Notary Public-Slate of Florida ���• .'�: Notary Public-State of Florida
• -
-'. My Comm rxpipH Mar - -
p Commission#EE 176869 +�F P•' Commtsston # EE 176869
'.Focc�:p'�` osc��.�
Revised 07/15/20 Bonded Through National Notary Assn. """"'�r Bonded Through Na;tonal Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED