HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED rr��2 QQ
Date:3I Z8� I Permit Number: (D(0
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 arrow at the end of line
Address: too 0 K.4Yte �r
Legal Description: AIII I u Vill "P �S "`4 9 61
Property Tax ID#: I' Lot No. 2
Site Plan Name: l,.//��A'�Go ( ��� ;�' Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
c--f"`.7{rr��Ir /1 � �jM+'na-C�I- L(/�N�CJ••.JS `
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Additional work toe e Orme under this permit—check a appy:
HVAC E]Gas Tank Gas Piping _Shutters Windows/Doors
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Electric 0 Plumbing []Sprinklers Generator I! Roof
Total Sq. Ft of Construction: S . Ft.of First Floor: J
I,
Cost of Construction:$� ,(Z's r Utilities: _Sewer E:]Septic ''Building Height:
Name 12c ( Name: Peter A Cafaro III
Address: (p o l ll�-�« Tv( Company: Lowe's Home Centers, LLC
City: �l+ �ti:. State: i1Q Address: P-O. Box 781993
Zip Code: Q8 Z Fax: " City: Odadno State:FL
Phone No. - ZSS f'o l �'�'� Zip Code: 32878-1993 i Fax:
E-Mail: Phone No. 5!o 1 — 72
Fill in fee simple Title Holder on next page(if different E-Mail: 0GraN114-it (L k-(-~ / 01
from the Owner listed above) State or County License: CGC1508417
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: • - i
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: I Address:
City: State: City: State:
Zip: Phone: Zip: Phone: 1
FEE SIMPLE TITLE HOLDER: of Applicable BONDING COMPANY: ____fNot Applicable j
Name: Name:
Address: Address:
City: City:
l 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 itt,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 property. 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
commencing workd recordi Notice of Commencement.
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Signature of / ent/Les e- Signature o Contra r ' rise Hol
STATE OF FLORI STATE OF FLORI A/L
COUNTY OF_.I_1; COUNTY OF sic
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The for ping instrument was acknowled ed efor%me I The fnr oing instrurrWQt was acknowledge ore me
this 'Ysllay of cd.� 20 y this�ay of K/tAcv c2, 201L&by
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iPeter Cararo III i I PeterCa`aro III
(Name of pretserfackno ging j - (Name of person ac• In
(Signature of Notary Public-State of Florida) I (Signature of INcitary Public-State of Florida)
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Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
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i Commission No. „.. ,, (Se8{I}fEfictary
Commission No. BGCOOK
Not Publrida ?�• � Not Public-State of Florida
ill"L --,Commissi9Commiss:nn EE 176869
„r�,„Revised 07/15/20 Bonded Througssn, Bonded Through NolaryAssn.
REVIEWS i FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE I MANGROVE
' COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW I
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