HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE I FOM ST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a� Permit Number: rO
�ID:re
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: l�
PROPOSED:IMP:ROVENiENT,LOCATI`ON
Address: 2 70 S C-�)r fZ (�
Legal Description. &M k b K W 3 7.2 FT-6f- L6 1
A�UoC• L,pT C �i
Property Tax ID#: Zy20 dUZ �DOZp OOy —.6 Lot No.
Site Plan Name: Block No.
Project Name: �JI C
Setbacks Front Back: Right Side: Left Side:
TAILED DE5CRFPTION
R 10.�„eljf , per w , s
Rc�(a,c�rn N0 w-IMP 0-tT w I ti o a (/J (61C.1 S T?ev S UV(
CONSTRUCTION {NFORNIATION <.
Additional work to be performed un er th is permit-check all appy:
F1HVAC Gas Tank Gas Piping, _Shutters E5indows/Doors
Electric Plumbing Sprinklers 1:1 Generator a Roof
Total Sq. Ft of Construction:` // S Ft. of First Floor:
Cost of Construction:$ / 1 �Pd (' Utilities:�Sewer Septic Building Height:
;OWNER/LESSEE =. _ f CONTRArCTOR
Name - V11 Name: Peter A�CafaroIll
Address: - Z1 OS 'Ae� Company; Lowes Home Centers, LLC
.City: l l &-v-ce. State:_ Address: F.O Box.781993
Zip Code: -f 9- k Fax: �i�" City: Orlando State:FL
Phone No.--7-7 L �i0-7 1 ^ y Zip Code: 32878-1993 Fax:
E-Mail: Phone No. .S�i�.. '�j�� 2 q
Fill in fee simple Title Holder on next page(if different E-Mail:
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW°INFORMATION
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: +Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 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,l do hereby agree that I will,in all respects,perform the''woek
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendme ts.
The following building permit applications are exempt from undergoing a full concurrency revi :r om additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses o ano er non-residential use
WARNING TO 0 ER:Your f ur to.Record a Notice of Commencement ma result your pa ing twice for
improvements t .y r prop y. A otice of.Commencement must be rec rded a d post o the jobsite
before the first . sp tion. f you in end to obtain financing, consul with ender o an a me before
commenci w rk o rec din o r Notice of Commencement.
y V
S,
Signatureof ner/Lessee/Agent Signature of CI, actor/License Ho der
STATE OF FL IDA STATE OFF RIDA
COUNTY OF R =GE COUNTY r0PAU11ffG1
The f oing i st me t was,a knowledge efore me The f goint wa acknowledg efore me
this day 20 by this r da 20 by
PETER A CAFARO III -PETER A CAF
(Na a of person acknow edging) (Name of person acknowledge )
( gnatu ofotary Public-State f FI rida) (, gnature o otary Public-State of Fl rida
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FFO81647 a�I Commission No. FF os �
No 0 We State of Florida � —Notary Pub tc Sts a o(F orlde
Kari MR lccabon{ Karl M Rkcaboni
CC 7
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