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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST.BE COMPLETED..F.OR'APPLICATION TO,BE ACCEPTED Date: % Permit Number: D � :,.i. - ":Ci: - �•A... C•,iml T2s,E Li �4��n Widing Permit Application AUG 9 2 2016 Planning and Development Services PEP:sITTf��C Building and Code Regulation Division 5t. Lucie County, FL 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 sr. �+ ,e1.. .i�?.:=.�� c^Y:.�k:All�> �,pc sX-T ..v.., "a•�C-`:�" h c 1S•-..., a� ^^.� - 1}..+.� .,..y -'.�:`?=a'.•4"+qR -�=5 �x.:w `3.. ., r § za ..r ,PRnPQSDIPFZ�11 ] 1�1 LQ£ TI( :r � Y'}�hy,�'', M a>m_... n,7. w,.:avm� h•..a« .s,"��� ....:,�isw...4 .sfi.7nafii 'i'.evS..:' i _akSS''ia �.-�i.-:r. •S^n._. r�..,+ �u.:k,;.;'..S :e.�a''`ri:�v% Address: Legal Description: �� ��-+LS ( L-oeT-la Property Tax ID#: �3 33 1 O oy{o - ��- Lo Lot No. C.O Site Plan Name: eAW—V.Nt '11�ouor+A-S Block No. Project Name: Setbacks Front Back: Right Side: Left Side: '$ak'i f >K;M• xeS su/�;5-r--�t'`+.-'��';4:i,,'c+"-'L"•' r"S".z '�i.3-- i, x 1"'�'. f:5..r,�- o• ':;YS•'+' -YFs:a? is .i'_ .b..• .#itZtC .+:�. .S+xfti" =:f'' siC,�'<": i,.'•--�.;.•91`n.F'..'a u'i^••;+"is, �a� � � } a $^.�`''.,?:•?: ''�iS:;'.h�f.�.'Si�.f^E .`y��' �i'�`Sc �P � '�` a r✓?�� s +3�,� �' r �:u :�, i5 1 ,{...` 5 4�` t x , =�,R.. o� ZM�� �e.�N�{$��F'� �x ��„F'�' �'�o',�,i tr� �•.u-r-y��s,�'7� �v� -�xC f.., �i " �� �•�5.�'t'a,.t�,. -z�-�.:�f'': .n.N,'+"�f�1r.�_�S^....�.y.te,. '• y�- a t,� �1t f3 r•'kS�{F- �' y�n-`��* '4y�,;.�3w�`33'�i �k't �� x ��,ta a'"tit.' (�3 ��- '� t .L=�:kz��.*9ra,.�n,�; ;.. .1 -� z>-. .a-.:. .n.{: ..,,�•.�,et,'��.-...as.� Naga: §�f�. -.�.�.,"n�..�» .,.:�. .%� �^���•� R„CwY,t”(?-e$.,111y,J, -r,,UK-`rCi_.Zs�:iE_"r.•.. �..I:�h3sKF{^3. .xi•t•-�1t..�,a[...tC�„i.�_ir..<rrXiiiMlz���;..Y,t,',�i,,u•,�,.r�j•r:..a`�.3.�r�;",h,k,4 -'n; <,: 6�Cc /t,14Sf - '. t`A•h! � IRS `:"•tit. a_�5i ��L rryty. ,.:'•""'.�c: vs. •^. Additional w- toe e orme .-un ert wpermit c ec �a appy: ❑HVAC E]Gas Tank Gas Piping _Shutters Windows/Doors — ❑ p ❑Electric 1:1 Plumbing Sprinklers ❑Generator F]Roof Total Sq.Ft of Construction: Scl. Ft.of First Floor: a ' Cost of Construction:$-- (�, 3 �J Utilities: _Sewer El Septic Building Height: ASF•i .. -•:: it a` +.�+. }; if �Lrj� P � h k :tk✓w,#�.:-vc o- sp r5ar r- .,4 Ns ( - '�23`.fc�, ,7#*a .S'»'"3�,vi-tcw'u>.^S=.k.K*'x k�"`.' ��..'"4:;,"xnr;W4:1 '' ^` (e'=^ �?' .?,; S±hLka"'A Wit.,.,`,." •�-�;?, "z. a; �AA.ez t3 .$,,,..-,•r`,..,,...,��.•.,�.,��� "� Name ejaio\..�t;S%Z kp: tg Name: Peter A Cafaro III ,Add ress::'AA--8Company: Lowe's Home Centers, LLC City:' State: - Address: P.O. Box 781993 Zip Code: `S "Fax: '` City: Orladno State:FL Phone No..,,,-7-,,Z"►'S'3`�i �jV__ `( Zip Code: 32878-1993 Fax: E-Mail: Phone No. :Fill in feesimple Title Holder.on next page(if.different . ,.:E-Mail:. C✓ .'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: J 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: I 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 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 wor recorc! r Notice of Commencement. ' 1 ! Signature of / ent/Les � Signature oLFLO=I�A� �nsee STATE OF FLORI ` STATE OF COUNTY OF SLC COUNTY OF s:c I The f r oing instrume t was gcknowled ed beforet me The f°f�ping instrurrlpnt was acknowledge ore me i this day of 20by this (`�1Riay of A(�f20_LWby Peter Cafam III Peter Ca(aro 111 (Name of p o acknm ging) (Name of person ac to i (Signature of Notary Public-State of Florida) {Signature of lNotary Public-State of Florida) � � Personally Known OR Produced Identification Personally Known x OR Produced Identification , Type of Identification Produced I Type of Identification Produced 1 Commission No. (Se6{I}iCH BOCOOK ; ommission No. BOCOOK Notary Public-State of Flonda <• �� Nolary Public-Slate of Florida I Comm ssionAr EE 116869 's'-e °: Commtssicm EF 176869 Revised 07/15/20 1 Bonded Throuoh National Notary Assn, Bonded Through NotaryAssn.. n s . REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TUE RTLE MANGROVJ COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED fDATE COMPLETED