HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE.COMPLETED F.OR APPLICATION TO BE ACCEPTED
Date: t0 k Zql l r0 Permit Number:
)j I✓n
Building Permit Application OCT 3 12916
Planning and Development Services
Building and Code Regulation Division PEHfT1ITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie CSt<ty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line w;Oa,L3
Address: 'i 3 39 W011 I'D L'v WA
Legal Description: _ v0 7Ori A-r-1- Ezv>E0
Property Tax ID#: 3 3 7_7 �c�'1 _ t0 d (o 6yn ' Z Lot No. �8
Site Plan Name: dskpa '50- A IACVLY-Tf, Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
l '
404- V1.J cNau-i
Additional work toe e orme under this permit—check a appy:
HVAC 11 Gas Tank Gas Piping _Shutters Windows/Doors
FlElectric El Plumbing Sprinklers ElGenerator F]Roof
Total Sq. Ft of Construction: Sq.-Ft.of First Floor:
.Cost of Construction:$ Z-1 Utilities: _Sewer El Septic Building Height:
b1 �
Name MAO S�hAAAC40<411L Name: Peter A Cafaro III
Address:: 43•95q.=lltla.vlb:•aaKe.,-WA,z Company: Lowe's Home Centers, LLC
City: ✓'I" ' 'L.ir State: Address: P.O. Box 781993
Zip Code: 31(179(g. Fax: `4 City: Orladno State:FL
Phone No. Zo':3. �.�'i='3 r O` �1 C1 Zip Code: 32878-1993 Fax:
E-Mail: Phone No. 772 w &AO-3405'3
Fill in feesimple Title Holder on next page(if different E-Mail: --J—PG—L PKaAY 4f of /Ahoa. C-y-.
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;
1 DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: ! City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _of Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
1 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 i yo intend to obtain financing, consult with lender or orney before
commencin wor recordi Notice of Commencement.
; Signature of / ant/Les ere' • Signature o Contra r/Lrise Hol
STATE OF FLORI STATE OF FLORI A
COUNTY OF-SLC COUNTY OF st.0 I
The fo aping instrumt was acknowled a beforet me The forgoing instrumprit was acknowledge ore me
thies day of20 by thisWA-day of QG? 120 oy
�_�
Pater Cataro III Peter Cataro III
(Name of p ackno ging) f (Name of person ac In
—77> _ I
(Signature of Notary Public-State of Florida} (Signature of otary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification I
Type of Identification Produced Type of Identification Produced
Commission No. (SetfllhCH SOCOOK Commission No. """ BOCOOK I
.'- Notary Public-State of Florida ��'= Notary Public -Slate of Florida i
I -.~•• v, Cnmm_Expices Mar =
:s,
Commission EE 176869 '',;fF�«�a°•' Commtss:nn a EE 176669
Revised 07/15/20 ''rrr�r�r"�� Bonded Througn+v�:tona'Notary Assn.
Bonded Through Nalional Notary Assn.
R' E-VI EWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW
DATE � j
I RECEIVED 1
DATE
I COMPLETED