HomeMy WebLinkAboutBuilding Permit Application ALL APPUCABL 117 SZBOMPLETED FORAPPLICATION TO BE ACCEPTED
Date: Permit Number:_
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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: Ay&
Legal Description: 44C-K_ ( r k Llri; Z Lac I 'r
Property Tax ID#: 3419 - 6-10 - 000-B dW -'1 Lot No. c9
Site Plan Name: WoaN CA Av%perso t1 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
titiona wor to� e e orme un er t �s permrt_c ec a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric ❑Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
z3
Cost of Construction:$ �� uy 0 Utilities:ElSewer ElSeptic Building Height:
x c`
Name Mo 9%CA �v.o4-1.'50••-3 Name: Peter A Cafaro III
Address:.: Z''7- . Jt�e�• ..
!-Iti/ Company: Lowe's Home Centers, LLC
City: ��v s L,:r�+L_ State: F:L Address: P.O. Box 781993
Zip Code:33K4'Y2 ''Fax: City: Orladno State:FL
Phone No. "772-._-S�3o4 .O IAA l., Zip Code: 32878-1993 Fax:
E-Mail: Phone No. -77Z - L418- (o4S'
Fill in feesimple Title Holder on next page(if different E-Mail: TPG_ L P4-A#"• S
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: of Applicable BONDING COMPANY: Not Applicable
Name: Name: I
I Address: Address: i
City: City:
Zip: Phone: Zip: Phone: i
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 yo intend to obtain financing, consult with lender o orney before
commencin won recordi Notice of Commencement.
� f
i
; Signature of / ent/Les a Signature o Contra r/�nseftl
lSTATE OF FLORI STATE OF FLORI A
COUNTY OF SLC COUNTY OF st.0
t
The fpj�Jeoing instrument was ocknowled a beforet me i The for oing instrument was acknowledge ore me
I this(^day of NOV 20y this (I y of 20by
f t
} Peter CalarD III Peter ca'aro III
I (Name of p ackno ging) � (Name of personac to
i
(Signature of Notary Public-Sta a of Florida) (Signature of otary Public-State of Florida) {
I
Personally Known )1 OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
"'- ( WhCH BOCOOK BOCOOK j
+ Commission No. "' Se ommission No.
- Notary Public -State of Flonda r'• Notary Public-State of Florida
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• E Pres Agar_7-_2 t
s,+,F ° Commission*EE 176869 ' J ,g�O•' Commiss;on a EE 176869
.,o.c. ,• •'te ort 1.00
Revised 07/15/20 ''������" Bonded Throuon National Notary Assn. Bonded Througn N.,;,ona!Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
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