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Home My WebLink AboutBuilding permit app _________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ____________________ Permit Number: _____________________ Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial __________ Residential ___________ 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: __________________________________________________________________________________________ Property Tax ID #: _________________________________________________________________ Lot No.__________ Site Plan Name: __________________________________________________________________ Block No. _______ Project Name: ______________________________________________________________________________________ DETAILED DESCRIPTION OF WORK: New Electrical Meter __________ Second Electrical Meter_______________ CONSTRUCTION INFORMATION: Additional work to be performed under this permit – check all that apply: __Mechanical __ Gas Tank __ Gas Piping __ Shutters ___ Windows/Doors ___ Pond __ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof __________ Pitch Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________ Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________ OWNER/LESSEE: CONTRACTOR: Name__________________________________________ Address:________________________________________ City: _________________________________ State: ___ Zip Code: ______________ Fax:____________________ Phone No.______________________________________ E-Mail:________________________________________ Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name:_________________________________________ Company:_______________________________________ Address:________________________________________ City: ______________________________ State:____ Zip Code: ________________ Fax: __________________ Phone No_______________________________________ E-Mail__________________________________________ State or County License____________________________ If value of construction is 2500 or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. 7/2/20 ✓ Changing windows and doors 10701 S Ocean Dr. Lot 633 Jensen Beach, FL 34957 633 Doors and Windows Lot 633 Doors and Windows Lot 633 Replacing front door with 38.5” x 80” White French Door. Replacing side door that is broken. Enlarging two existing 36” window to be removed and installing new 74” W x 72” H fixed impact window. 1,105 369 2,872.36 Luis Alberto Gallardo 10701 S Ocean Dr. Lot 633 Jensen Beach 34957 (904) 759-8249 kandcsand@yahoo.com m:' [hERJehGIN€EA _11 AtA�.PS:rablm MORIGMECOMPANY- MY. OMPANY-Gity vp YAV Ph«yac(t:tesas.vs. Zip = Phone WM7:t„a, I r FEE SIMMWtl HOLDER: ZNotApplic&Q, BONOINGC MP&Ny: h".a �SppN€a�'e Name, Yacar Addreas Ads-ess: City: (C4 y: - 09Vf2@�2�h'T$ACPI]fi,FtFFiLbVJi:r�r+i.ar4r is hemLy r..ac�to ct?air a?t7r,iv 0a ihrnc�k aaC i�statkt�4a asr�sa'�. 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IhoApt4•a.-+3bai:di.nPcm➢t2ppeca'-w-r.art r,"rrPtlr9mvzdc,clrtr,aft:3cara:rr.cvrc4rrc2vsr-a;QiFs�;, za4uasy�.•=wee V ctz:mmiti pae:s,Maas,uaCy sey:�.s�ecn:4a-;ar,C:€�:�,�;tr cxs;4-ana�,�-nnmrrs;c�.,_t,r,.� WAtNUM70OY.OVER:WwarFoaurow.Amid iNalltac9Conmentcmontnzyyresu2tLbgayingM,fcetat fhspr9'venert8 tD your propeaty.A itiWICO of Crr:to crr..rrm i.1 mros'be m=read_rs tl:n ablir.recotds of Se. :ucla CAvrty and p(nmd on the jCiSi:c bauore the f i-,insp=10n,If you intend'o obtafr tinar.G nm cans:tot %Yi[hro:dernr�nnottorna ore cvnmrrrarv-v,okorrc:or4in •cur Ya :coF^ar^mar.e4te9;. .pfd i sad' 5iana-arced v�n�.;t, , lCcs'rcferury-ent Par C•H�er S.naL.asti of Cea:tat:ae�tiean�urlurr STATE OF FLORIDA STATE DF FWRIDA COUN1YOF t�u�r�r'• COUNTY OF Sy ta!m:ftm44Jir:dsuE ihedoz!arrrrfur Sw -n Wcrvv*,-ed;wdvckntet'Micro nt0 I WPI DniC`tr ar_Cafinr:;stari:a'I4n Phy,:,A Vhas:o br_04!,rd Nowi:own tppL1S.;�..sfaf of k.&i:j .e'3at:L-i C_._6a;•rff •.2020 4y r_(AL A,`103t?YtOs �L4cy49 Plamoof poria.;makes stateme.._ ,!/ j t;unn w parc::n eesviirv;:atema.-i 9Bryn,°`fi s6'.4•rm 63?•.9ucsC tdenz�cacs.9 `+ !.f Dc�:.xi: Kna^ar+ CF:Dradu:rd ldG9riY;tav`c� TNDe 6^IC 't•sm �� ons 4, i•c('H`adlif<Crait�?ta",.4M1 Drp3uind #'ifit�1f 61 `w tih Car■1S C' 7.c xr3 t r ISl,�nctcac of Notary Publo-Sisk"ai.. a "'•.<"c•,��ti SY;.C,h�,,aa�ur_c9 �r�@uis' +#:qlc of Randa Y -1 4 f �. CCh NtR"a a� Jh Camn^arion r a.� i „ter;G7oi?7+7 ;[+•am ivo-.1` i lte'•a "`��•Lra.:e,.r.=c�Prw,.as::asrrs REVIEVA FAQs:, ?c^'I.NYa SUPEW4150R +POJaiS VECeu;TlMJ SEATURZ L :7A;CG1101,T, CCIJrM-Et q R11JE',°v REVIEW 9F,M-,.v 0-C9flEN11 .+?yAW ' REVIVA, RECEIVED 1 € brATE CRfti7PLETED a 3 I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ___ Not Applicable Name:_____________________________________ Address:__________________________________ City: __________________________ State: _____ Zip: ___________ Phone______________________ MORTGAGE COMPANY: ___ Not Applicable Name:______________________________________ Address: ____________________________________ City: _____________________________State: _____ Zip: __________ Phone:________________________ FEE SIMPLE TITLE HOLDER: ___ Not Applicable Name:_____________________________________ Address:___________________________________ City:_______________________________________ Zip: ___________ Phone:______________________ BONDING COMPANY: ___Not Applicable Name:__________________________________________ Address: ________________________________________ City:____________________________________________ 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 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Rev. 5/6/20 ___________________________________________ Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDA COUNTY OF_________________________________ Sworn to (or affirmed) and subscribed before me of ____ Physical Presence or _____ Online Notarization this ____ day of _________________, 20ϮϬ by ___________________________________________ Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF___________________________________ Sworn to (or affirmed) and subscribed before me of ____ Physical Presence or _____ Online Notarization this ____ day of _________________, 20ϮϬ by Name of person making statement. Personally Known _______ OR Produced Identification ______ Type of Identification Produced__________________________ ___________________________________________________ Name of person making statement. Personally Known _______ OR Produced Identification _______ Type of Identification Produced___________________________ (Signature of Notary Public-State of Florida ) Commission No. ______________ (Seal) ____________________________________________________ (Signature of Notary Public- State of Florida ) Commission No. ______________ (Seal) REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED Don J. Nuelle, P.E. NewRez LLC 11634 S.W. Rowena 4000 Chemical Road, Suite 200 Port St Lucie FL Plymouth Meeting PA 34987 (561)629-6975 19462 (414)716-2801 ✓✓ See Notarize.com attached certificate ) ) ) DESCRIPTION OF ATTACHED DOCUMENT Title or Type of Document: ____________________________________________________ Document Date: ________________________________ Number of Pages (including notarial certificate): _____________ On __________________, before me, _________________________________________ , the foregoing instrument was subscribed and sworn (or affirmed) before me by: ________________________________________________________________________. Name of Affiant(s) JURAT State/Commonwealth of _____________________ City County of ______________________ Notary NameDate Personally known to me -- OR -- Proved to me on the basis of the oath of _____________________________ -- OR -- Proved to me on the basis of satisfactory evidence: ________________________________ Type of ID Presented Name of Credible Witness WITNESS my hand and official seal. Notary Public Signature: _________________________ Notary Name:__________________________________ Notary Commission Number:______________________ Notary Commission Expires:______________________ Notarized online using audio-video communication VIRGINIA 07/02/2020 Lepatience Katina McClain Lepatience Katina McClain 7834024 11/30/2023 3 Building Permit Application 07/02/2020 driver_license Prince William Luis Gallardo