HomeMy WebLinkAboutBuilding Permit Application L`2 3l c�I
ALL APPU�LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11 Zl I Z IIto 11011- mq
Permit Number:
� RECEIVED
Building Permit Application DEC ,1 5 2016
Planning a d DevelopmentServices PER-MITTING
Building ar�d Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(7jT2)462-1553 Fax: (772)462-1578 Commercial Residential
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PERMIT i� PPLICATION FOR: To Select from dropbox, click arrow at the end of fine
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Address:
�j o �jco !D���..o, L•�
Legal Description: � Pr_,,C_nb
Property Tax ID#: -� 1i3a '-10Z ,C7 9 zZ dOC7 - 9 Lot No. (47
Site Plan N me: ~ NNIS W�_I¢A \4o+y Block No. 3
Project Name:
Setbacks Front Back: Right Side: Left Side:
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WIN A
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�� gSp�\� � lD � t7'� �p +_ �.►od. (AGE - -
I iona orktobenertormed under this permit_c eck 511 appy:
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[1HVAQ _Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
ElElect is 0 Plumbing Sprinklers Generator Roof
Total Sq. Ftp A Construction: S Ft.of First Floor:
Cost of Construction:$ 2- Sg Z Utilities: _Sewer l Septic Building Height:
Name oNo� Name: PeterACafaro III
Address:.. to ,77>EArW, 4W, Company: Lowe's Home Centers, LLC
City: F< State:_R Address: P-O. Box 781993
Zip Code: I$. Fax: '`. City: Orladno State:FL
Phone No.i -.7 7- L, q4I - 9.S'I.S Zip Code: 32878-1993 Fax:
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E-Mail: Phone No. 774~4f8- 3to9 5
Fill in fee s�11pie Title Holder on next page(if different E-Mail:�P&_ L Pda-m-ksE�/4+.m• ^
from the Owner listed above) State or County License: CGC1508417
it
If value of colInstruction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: ; Not Applicable—�
Name: Name:
Address: 1 Address. i
City: State: I City: State:
Zip: Phone: / ! Zip: Phone:
FEE SIMPLE TITLE HOLDER: `-fVot Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
I 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 the permit holder to build the subject structure
which is irvconflict 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
coTmencin worW recordr Notice of Commencement.
Signature of / ent/Les �. Signature o Contra r/L' nse Hole
STATE OF FLORI STATE OF FLORI'A
COUNTY OF s c COUNTY OF SLC
1
! The lreod b
ing instrument was�cknowled eefore me ! The fnraoing instrumgnt wasdg
acknowlee ore me
this ay of D kc- 20LWy i this jg ftday of T)&C 20 by
Peter Cataro III - Peter Cataro III
(Name of pgysotfckno ging} - (Name of person ac _gin
(Signature of Notary Public-State of Florida) I (Signature of lNotary Public-State of Florida)
Personally Known X OR Produced Identification I Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
"' "'''• MftCH BOCOOK .� I
Commission No, (Se ommission No. BOCOGK i
r13•�' Notary Public-State of Florida y• Notary Public -State of Florida
(--- y_Camm._ExPiro 6-Mar- — -• l rn�
7-t�8tfi f.-',-ar 7.2010
Commission #EE 176869 Comm ss on a
four^'.' %FwnA: EE 176669
Revised 07/15/20 flondea Throuoh National Notary Assn. " Bonded Througn K,,;rona'Notary Assn.
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