HomeMy WebLinkAboutBuilding permit appAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE:
PROPOSED IMPROVEMENT
(� M�IIMPROVEE /ENT LOCATION:
ririr.'r. -// (-1IP-(OA ri-- f;-,
Property Tax ID#: 2�l2(-�6� - (,(���-��- Lot No. 2
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
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 _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3R• d
Sq. Ft. of First Floor: _
Utilities: —Sewer _Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name 0 L-Vna
Name: P=)Obeocro Scax-ooe�Z—
Address: 2zgpyoei'orn Gf, :
Company: The, Ho(re- De-�cb"i--
City: T I' - P" 21'CC State: FL-
Zip Code: 398-2- Fax:
Phone No. 362-- 462- 7W
E-Mail: rood J�In orma I • (26
Address: -/± i Qkcf ss
City: A444-n�>� State:
Zip Code: ,33D-2.`? Fax:
Phone No
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail I',�5,be#,ioSa.i-.hey ��arDPd�te�2rr+7�"i� e 2
State or County License
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 CONSTRUCTIONLIEN 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: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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
COUNTY OF
STATE OF FLORIDA
COUNTY OF S-� Lt�eC�
The forgoing instrument was acknowledged before me
this �. day of N�sps4 20,1Lp by
The forgoing instrument was acknowledged before me
this ',� day of 20 1-L by
iZo�ar �ly Si ���,►,E.�
� fix. r � n � Y, �).c.-L
Name of person making statement.
Name of person making statement.
Personally Known. OR Produced Identification
Personally Known — OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Aaron Hallich
-'
(Signat of Notary Public- SPUBLIC
STATE OF FLORIDA
Commission No. i��f%` _' `` 'i) i"mgGG951577
�t�ce191 Expires 1/27/2024
(Signature of Notary Public- Stat ,? Pjda aron Hallich
NOTARY PUBLIC
TE OF FLORIDA
Commission No. , `� �✓ mot,.. , Td%)
•� .'�` Comm# GG951577
"�U�E jg1�'
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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JOSEPH E . SMITH, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4737246 OR BOOK 4455 PAGE 1878, Recorded 08/04/2020 09:22:44 AM
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P� �s ► *ctt��
Yt* s'&n'o tV" 9hret Mice that in'P*0V WT will be made t0 certain r ai property, and 1n acxordwy* with Chapter 713.
'-"or iCa Stages the i OAN infor ce is provided :in tbfs NotioP of C.ommencec w t.
+�rna+r OF MKOIJUITY (Leo deso'l IOP a 1* PWFtY & SIMOM Addy sz. If mil") Tex Fouo No.: 2 �(2 { po�'- 7
SYR&ON -LOCK— TRACT ,_LAY 2' W.DG uNrf
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GE11"u DESGRWTICW Of wVabvEx"i•;
.a 0IARIER-WFORMATiQ1111 OR LESSEE PAPO MAT110ft 1F THE LESSEE -CONTRACTED FOR THE IIJll'EMENT:
b WmRittracr"�
i %mv aNb aftra at tbt *-,q k itA 0W tit dwwtN from Oww listed above)
4. a CORT RACTOR'S %AME* THE HOME DEPOT
'.,c>tiraaa� s > as 65W NW 12th Afire #110, FL Lsut*dele. FL 33309
SURET V (it &X*Ubt.A ,'D7 of she pyM* a bar4 it aniiiii }
o. Pficnt nurtOW
754-224-2010
c AmouK of Woad: 1 _._.._._. _
a- uENDER'SkAME. NIA
7 Permm within the State of Florida designated by Owner upon vdx n notices or other documents maybe weed as provided by
Saei�on 71313 (1) (a) 7 Florida Stawtes
31 "affo V4 sdtrtas _ —
8 a. In ad&oon-to-himself or herself, Owr►er designates Ot—
to Stat
to receive a copy of the Lienar's Notice as provided in Section 713.13 (1) (b), Florida ute
1: Piltoew numm e parwn or a dity orogrmoe b!►flwrdl
9. Exp"llon bate of notice of coax rK,exrlerlI (the expirallon date may not be before the arnplebon of coctsiruction and final
past to the-conttxlor, •Dut wlU be 1 year from the dote of recording unless a different date is s =10ed); . 20
1 T T NT
EU NPROPE'it PAYMENTS UNDER CMMUR 713, PART 1. SECTION 713.13_ FLOIDA 5TATU195, AND CAN
RFC FMF0 bhp ME= ON T1f X& 5M REFORE 333F FIM 13SPECT10R+1_ IF YM INTENDTO OBTAIN EKANC{NQ_ CON5WLT
WITH Y%jR_ LMM UE AN ATTORNEY BEM COMMI 1C WORK OR ffLO ING YOUR NO ICE OF COWENCEMEK_T_
patty Of pet�try, I are lhai t v+e rod the for g�dtjce of commer4nent SW that tfi@ fbCtS stated ther�ln are true t4
best of MY- and belie(
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of or less+ , - a or tIs 03ririt Num W ProMe Slputwy'•sIIWOffm)
jiltOtltcar Aytrta��j
RIDA
State of r
cauroy-of
The foragori was before rits day of ?A f042C)
_ as OWNER _
"' - of ) `^" (type of &Oiority..:eV. after, VWeee, attorney in tact)
fur
(duffle of party on dual' of wrtm IRStTtn ant SA!Vt
tlsr9onatly Known �. a Produced i�►ttfic7tiat of identiflcst�on Roducsd
pl�
Kftin C; wilmw
Gonal�w�.+an1ze13si ���..
01awm11 G t , Type, or S1snV Commisstoned Name of Notary 1'ubt10)
faw ;
Home Improvement Agreement: Pagel
home uepoi License ma's - ror ine most current iisung www.riomeaepat-COM/Licansei-4umuer5
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC1331113,
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.
LYNCH ICODY Ft Pierce 11-1EZA100W
Customer Last Name Customer First Name Store # / Branch Name Customer Lead/ PO#
2403 Melon Court Fort Pierce FL 134982
Customer Address City State Zip
1(302) 462-7761 Icodylynch@hotmail.com
Home Phone# Work Phone# Cell Phone# 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 33444
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 DELIVERED, ANY MERCHANDISE OR M ERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT F R INSTRUCTIO REGARDING RETURN
SHIPMENT AT HOME DEPOT'S EXPENSE.
THE LAW REQUIRE THAT HE HOM EPO IV N ICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEAS SI BELOW O D T YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTIC F UR R T C CEL
Acknowledged by: 07/31/2020
C st s ignature Date
Contract Price a Pam nt Schedule : Payment of the Contract Price is due upon signing unless a
different payment schedule required by law, specified below or in a payment addendum.
Contract Price: $ 13599.00 1 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: 10.00 1 (If applicable)
*Maximum deposit ONL Y applicable in MD, MA, ME (3391o).y NJ, Wl (99%)
Dep. 125.0 1 % Deposit Amount 899.75 1Remaining Balance 2699.25
The Home Depot - 2455 Paces Ferry Road, N.W. Bldg. B-3, Atlanta, Georgia 30339 - Customer Care: 1-800-466-3337
460 FI HIDE Customer Agreement (24 Jul. 18) Generated Date 07 /31 /7 n 7 n Lead/P0# 1-1EZA300VV V 0.1.11