HomeMy WebLinkAboutBuilding Permit Application i I
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ALL APPLI III LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 i
Date: Permit Number: 1/10 L " ®0O�
Building Permit Application
Planning arld Development Services
Building aCode Regulation Division
2300 Virgi,ia Avenue,Fort Pierce FL 34982 j
Phone: (7j�2)462-1553 Fax: (772)462-1578 Commercial Residential 3e
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PERMIT �i PPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 'J o��� C V-o,l ✓
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Legal Description: -L.vn•.Ra., 4-J4=4_
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Property Tax ID#: 3 4-z-z- 9 - oa t7 --1 � Lot No I Z
Site Plan Name: C Anom& �A ��E I Block No. 5'
Project Name:
Setbacks I Front Back: Right Side: Left Side:
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Additionaliork to be erformed under this permit-c ec a appy:
❑HVA Gas Tank Gas Piping Shutters LRIWindows/Doors
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DElectr is ❑_Plumbing Sprinklers Generator Roof,
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Total Sq. Ft:pf Construction: SFt.of First Floor:
Cost of Lonilltruction:$ cg 7 u 8 Utilities:,nSewer F]Septic Building Height:
Name C Ac»^� �AuN►�� Name: PeterA Cafaro 111
Address:.�0 5� , !-1-Ic.!�sr_�-� « Company: Lowe's Home Centers, LLC
Cit �i Q��'� State:�` Address: F'-O. Box 781993
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Zip Code: 13gq/ ? Fax: '` City: Orladno State:FL
Phone No.ii 3a3 SLS- (Qy'3 3 Zip Code: 32878-1993 Fax:
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E-Mail: Phone No. 772-1!18" 3C109'
FII in fee simple Title Holder on next page(if different E-Mail: -7 70&_ co
from the Owner listed above) State or County License: CGC1506417
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION': .
DESIGNER/ENGINEER: / Not Applicable— pp MORTGAGE COMPANY: Not Applicable l
Name: Name: i
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Address: Address: I
City: State: City: State:
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Zip: Phone: zip: I Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY- y_Not Applicable
i Name: Name:
I Address: Address: j
I City: City: I
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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 the permit 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, i�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 accessor�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
commencing wor recordi Notice of Commencement.
Signature of / crit/Les e Signature o Contra' r/ rise Hol
STATE OF FLORI STATE OF FLORI A
COUNTY OF sic COUNTY OF sic
The foreoing instrument was gcknowled eg d bgforel me I The foraoing Inst urr�pnt was acknowledged amore me
thi_3jAt1:day of ID EC 20 y this ay of tL 2 OW by
Peter Cafaro III Peter Cafaro III
(Name of so ackno ging) { (Name of�a! o
(Signature of Notary Public-State of Florida) (Signature of otary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known �I OR Produced Identification
Type of Identification Produced Type of Identification Produced I
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I Commission No, "", (Se&{ftCH BOCOOK Commission No. a "
BOCOOK
Notary Public•Slate of Florida I Notary Public -Slate of Florida
(, - ~'•, `:�- Y_Cn��Expic�-Mar-r'-?9 — '�� •�.•'
Commission #EE 176669
+.F ��` Commiss un a EE 176669
Revised 07/15/20 Bonded Tnrouph National
Notary Assn. " i�"' Banded Tbrou n N,;;o
ria'Notary Assn.
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REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW j
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