HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE IN 0 MUST.Bf COMP EO FOR APPLICATION TO BE ACCEPTED
Dater (" Permit Number:
a;P,
SII 4
�r
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`"'
1
PERMIT APPLICATION FOR To Select from dropbox, click here j
_ z ,
Address:
Legal Description: Lo-rZ
Prop �a Tax lD#: �Jt'{d�" ��' v�'�3^ C�'X'� Lot No. Z-
l
Site Plan Name: ����-✓ te, Block No. I
Project Name: I
Setbacks Front Back: Right Side: Left Side:
E i _
U `AI*1 { 5�} IE�`FIt QUttIR�C= 'f t � i .
Les
:
l
7
Additional wor to be gerformed under this permit F checK all thal apply:
HVAC Gas Tank []Cas Piping _Shutters 19windows/Doors
Electric M Piumbfng • Sprinkler, FIGenerator Roof
Total Sq.Ft of Construction: 5 Ft,of First Floor:
Cost of Construction:$ (OZ—' Utilities:OSewer Septic Building Height:
s
Name Name Peter Cafaro III
: r
Address: %1 CVW16kete, ea' ; Company: Lowe's Home Centers Ina ! }
City: 9iR.R.cL State:F� Address: P.O.Box 781993
Zip Code: 1591904 Fax: City: Orlando State:FL
.Phone No. 1 Zip Code:32878 Fax: 561-771-0049
E-Mail: Phone No. 772-416-3685
i Fill in fee simple Title Holder on next page{if different E-Mail: TPG_Lpermits@yahoo.com
E `
from the Owner listed above) State or County License: CGC1508417 SLC#22986
� s
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTI N LIEN LAW INFORMATION =
DESIGNER/ENGINEER: _ of Applicable MORTGAGE COMPANY: of Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: --.)6ot 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 thepermit 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
commencingwor recordi Notice of Commencement.
Signature of / ;ent/�LeVse Signature o Contra r/ ' rise Hol
STATE OF FLORI STATE OF FLORI A
COUNTY OF Sic COUNTY OF sic
The for otng instrurRent was acknowled ed beforet me The far ging instru ent was acknowledged before me
this iay of 20by this day of 20�rby
Peter Cataro III • Peter Cafaro 111
(Name ofp an ac
ckno ging) (Name of persoua
(Signature of Notary Public-Sta a of Florida) (Signature of otary 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. (SeMhCH BOCOOK Commission No. """ I BOCOOK
.n ��, o.
My Pnmm
;•_.�.' _ Notary Public.Stale of Florid-2 MV rnm- a =_� ��= Notary Public-State of Florida
-•.
Commission#EE 176869 " . ��' Cnmmtsslon EE 176869
Revised 07/15/20 Bonded Through National Notary Assn. """• Bonded Through h�;lor I Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED