HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE.COMPLETED FOR APPLICATION TO.BE AC4EPTED
Date: 3 11(D Permit Number: ri
4u - A(o. t i
r JUN 2 3
096
Building Permit Application PFRr-ArTTiNG
Planning and Development Services St. Lucie County, FL
Building and Code Regulation Division
1300 Virginia Avenue,Fort Pierce FL 3482
Phone:(772)462-1553 Fax:(772)46271578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
'PROPOSED IMP;ROUNllti�(
Address: 20 O a- W r, D
Legal Description: 1,Aea,,,,J P6,V o p i T/()
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Property Tax 1D#: 0 Lot No.
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Site Plan Name: Block No.
Project Name:
Setbacks Front Back: . _Right Side: Left Side:
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Adartional work o Be nerformed under this perm -c ee a app y:
[JHVAC Gas Tank ❑Gas Piping _Shuttersindows/Doors
Electric Plumbing &prinklers General
Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor.
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Cost of Construction:$ 31P Utilities: Sewer E]Septic Building Height:
OWNS CES`4Ela:ll ;
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Name i k f O Name: Peter A Cafaro Iii
Address: d0 a J or a d Company: Lowes Home Centers, LLC
City: '02e,&-Ce State. _ Address: P.O Box 781993
Zip Code: �9 tel' Fax: City: Orlando
State:FL
Phone No. 77 L- Sb 3 - (3 6 Zip Code: 328718-1993 Fa
E-Mail: Phone No._ I i�S _Z ®o
Fill in fee simple Title Holder on next page.(.if different E-Mail: 3Z( - 24 3-- 0 G 3
from the Owner listed above) State or County License: CGC1508417'
if value of construction is$2S00 or more,a RECORDED Notice of Commencement is required.
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SItPPLEI���T,AL Ct? ��Ut�*��. :
DESIGNERANGINEER: Not Applicable MORTGAGEICOMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: f
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 Countv makes no representation that is granting.a permit will authorize the permit holder tobuild 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 re4uested permit,I do hereby agree that I will,In all respects,perform the work
in accordance with the approved pians,the Florida Building Codes and St.Lucie Comity Amendme
The following building permit applications are exempt from undergoing a full concurrency revi :r m additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses ano er non-residential use
WARNING.TO d ER:Your a to Record a Notice of Commencement ma result your pa, Ing twice for
Improvements t y r prop .A otice of Commencement must be rec rded a d post a the jobsite
before the first' sp ion. f you i end to obtain financing,consul ith ender o an a me before
commenci w rk o rec din o Notice of Commencement.
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_Signature of ner/Lessee/Agent Signature of tractor/License H der
STATE OF F IDA STATE OF F ,RIDA
COUNTY OF COUNTY O
The f ing i Ment as ackn wledged fore.me The fo oin 1 strument was acknowledged before me'
this, day. 20 by this d f i .20 A by
PETER A CAFARa 111 P'ETERA CAF a III
INarile of person ackna dging) (Name of person acknowledge )
( gnat of otaryPublic-State.'f`FI eida) ( gnature o o1�ary Public-State of FI eida
Personally Known x OR Produced.Identification Personally Knownllx OR Produced Identification
Type of Identification'Produced Type of Idendflca�on Produced
Commission No. FF 981617 Commission No. FF 98
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Revised 07/15/2014AA A
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW. REVIEW. REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS