HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Windows/Doors
PROPOSED IMPROVEMENT LOCATION:
Permit Number:
Building Permit Application
Address: 6506 Pensacola Rd, Ft. Pierce, FL 34951
Commercial Residential
Property Tax ID #: 1301-612-0037-000-4 Lot No. 11/12
Site Plan Name: Block No. 120
Project Name: Henao
DETAILED DESCRIPTION OF WORK:
Replace 5 windows size -for -size with impact
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 6556.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Francisco Henao
Name: Roberto Sanchez
Address: 6506 Pensacola Rd.
Company: The Home Depot
City: Ft. Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-940-4189
Address: 2455 Paces Ferry Rd
City: Atlanta State: GA
Zip Code: 33039 Fax:
Phone No 754-224-2010
E-Mail: luzangela.garcia@hotmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail robertosanchezthd@expeditepermit.com
State or County License CGC1522717
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
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 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 PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instrument was
acknowledged before me
The forgoing instrument was acknowledged before me
this day of
20 by
this day of 20_ by
Name of person making statement.
Name of person making statement.
Personally Know OR Produced Identification
Personally Known,--:::::, OR Produced Identification
Type of Identif cat
Type of Identi ication
Produced
Produced
... 4 Ashley
NOTARY PUBLIC
N"
NOTARY PUBLIC
4fM_
'
Y
(Signature of Notary Public-
W to Ur7LORIDA
Comm# GG235648
(Signature of Notary Public- Sta i r� omm# GG235648
e
Commission No.
�,
�Nj9`-'s 7/5/?.0?_2
s„
FSEe�ai res
Commission No. '1 7/17/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19
IbacfO7tf6
JOSEPH E . SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUC IE COUNTY
FILE # 4739922 OR BOOK 4459 PAGE 168, Recorded 08/10/2020 09:27:24 PM
f I J J URN TO
The HOme Depot - Roberto Sanchez
2455 Paces Ferry Rd
Atlanta, GA 33039
Pf RMIT N UMK3IE R
Tt* undWsigned hereby gives notice that Improvement -will be made to Certain real property, and In accordance with Chaptor 7Z 3,
Florida Statules, the f01i0*jpg lnformalio0-.1s provided in this Notice of Commencernent.
1. DESCRIPTIOM Of PROPERTY ((.9gat desOp'ition of 0* propply & strut address, If available) TAX FOUO NO.: 1301-612-0037-000-4
SUBDIVISION Lakewood Park BLOCK_ 2n .TRACT LaT 11/12 mmG uNrY 10
Lakewood Park Unit 10 Blk 120 Lots 11 and 12 (Map 13/01S) (OR 971-267: 1106-2930) 6506 Pensacola Rd., Ft Pierce
:. GENERAL 1WscRlPTIDN DF )MIDRDVEMEN T:
Windows
1, OWWR INFORMATION OR LESWE-INFORMATION-W THE LESSEE CCWTRACTED•FOR THE IMPROVDAENT:
a.1k4me afe aft?.m. Francisco Henao + Almarosa Barajas 6506 Pensacola Rd., Ft Pierce, FL 34951
b. Inlerem in proWy . Owner
i dame and address or fee simple 11110 ttW (if dirterent ftom Oww'tisted abm)•
4. a. CONMACTOWS NAME: THE HO111lE DEPOT
n ~' J 754-224-2010
cunttactor's edciress. �% PCLCPS �� rR / M_1d_ l �'�dz $� b. ptwr� number;
b SURETY (it applicable. a copy Of the psyrnea{ bmd 1s allachoo:
a Name and address NIA
b Phone number-
4. a. LENDERS NAME: NIA
c Amount 4r bead• i
t_enft-s a=ess -b. Phone number
7. Persons within the State of Fior Ida designated by Owner upon whom notices or other documents may be served .as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
a Nara and addre3fi
b Mrie numbers of dexlgaied Wwnr.
.8. a. In addition to himself or herself, Owner designates of
to receive a copy of the-Llenar's Notice as provided in Suction 71313 (1) .(b), Florida Statutes.
b. Phone -number of person Orentlty 0319rwlad by Owner:
9. Expiration -date of notice of commencenwt (the expiration date may not be before tire -completion of constnlction and final
payment to the -contractor, but will be 1 year from -the date of recordhV unless s different date Is specified): _ . 20_.._„
ARNW WN Y PAYMENTS M6QL BY njE QMER ER EXPIRATION 9ME NOMEM
ARE CONSUERED IMPROPER i' F
RESULT IN YOUR =MWICE
WITH YO��R LE14M OR AN ATTORNEY BEEM COMMENCING WES OR RECORDING YOUR WIIQE Of COWENCEMENT,
Und ty of perjury, t declare thatP"ve read The foregoing notice of commencefnent and it:at the facts stated t#'rerein are true too
the f my knowledge and ballet:
( tcsrt of owner or Owner's or trexsee'Y tk Narn aid Rsrxidi: Signatwj►'s tJaTk�ej
A Otfim JDinzctor/Pat nerlManat�t�
State of FLORIDA
County of Sj Lmle
The'foreoing Instrument was admowledged before me this day of 20 2!�2
r;r1_jd
.ley w .—.._
C-1 "1+ H � f} a5 OWN
ER
fa
Self (name of perm) oype -of authority,.. &g. officer, trustee, attorney In fact)
(name c party an behalf of w tom irkstivrnenW_at4
uPersonally Known._____ or Produced IdenUni:atType of ldwtitication Proft:ed
� P
!•�
". Nay POW
40
Kevin C �STgns a [nlct fc}
My Coctrcttimw QG 126130
' y Expires 07/121202 t irit, Type, cr Si mip ComrMssiorted Name of NotaryPublic)
Rev 4 �
Home Improvement Agreement: Pagel
Home Depot License #'s - For the most current listinq www.Homedepot.com/LicenseNumber
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC13311131
CCC1331130
Kevin Walsh
Salesperson Name: Registration No. (if applicable):
Home Depot U.S.A., Inc. ("Home Depot") or Service Provider named below will furnish, install and/
or service the equipment listed below at the price, terms and conditions as outlined on this form.
HENAO j I FRANSISCO
Customer Last Name Customer First Name
16506 Pensacola Road
Customer Address
1(772) 940-4189
Home Phone# Work Phone# Cell Phone#
Ft Pierce 1-194BMUV3
Store # / Branch Name Customer Lead/ PO#
Fort Pierce IFL T34951
City State Zip
luzangela.garcia@hotmail.com
Customer Email Address
NOTICE OF RIGHT TO CANCEL: YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY
OR OBLIGATION BY DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
1250 Linton Blvd Delray FL 133444
Address City State Zip
Or Email: customercancelIationsouth@homedepot.com
Service Provider Email Address
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
SAME CONDITION AS WHEN IVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONT C HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT E PENSE.
THE LAW REQUIRES THAT T OME DEP?ECL
E YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEAS IG B OW TO ACK GE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTIC O YO R RIGHT TOEL
Acknowledged by:
slomfls Signat
07/10/2020
Date
Contract Price and Paimerit S' edule : P menC of the Contract Price is due upon signing unless a
different payment schedule is required by law, specified below or in a payment addendum.
Contract Price: 6556.00 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: 0.00 (If applicable)
*Maximum deposit ONLY applicable in MD, MA, ME (33%), NJ, W1(99%)
Dep. 1 25.0 % Deposit Amount $ 1639 44Remaining Balance 4917.00
The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337
460 Fl HDE Customer Agreement (24 Jul. 18) Generated Date n:z 11 n ,? n 9 n Lead/PO# a -19 4 R M I I V -3 v 0.1.11