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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L7 O J v \ "r
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-4...�, � `` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7775 Gullotti Place Port St Lucie, FL 34952
Property Tax ID #: 3414-501-1111-400-0 Lot No. 11
Site Plan Name: Block No. 3
Project Name: Capezzuto
DETAILED DESCRIPTION OF WORK:
Replace 24 windows + 2 doors size -for -size with impact
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 X Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 35448 Utilities: —Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Carmen Capezzuto
Name: Roberto Sanchez
Address: 7775 Gullotti Place
Company: The Home Depot
City: Port St Lucie State: l t'
Zip Code: 34952 Fax:
Phone No. 772-480-1140
Address: 2455 Paces Ferry Road
City: Atlanta State: GA
Zip Code: 33039 Fax:
Phone No 754-224-2010
E-Mail: carmencapezzuto@yahoo.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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
.,*
SUPPLEMENTAL CONSTRUCTION LIEN 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 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 our Notice of Commencement.
Signature of wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Prese Cie or Online Notarization
V
� Physical Presence or Online Notarization
� day of 202� by
this��_ day of 202p by
E�ORID
.F ORI ,y
Name of person making statement.
Name of person making statement.
'm�Personally Known �OR Produced IdentificaPersonally
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Type of Identification
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Type of Identification Cl)
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of Notary Public State of Florida N ,icy
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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\1037(004 _o/v
MICHELLE R. MILLER,
CLERK OF
THE CIRCUIT
COURT - SAINT LUCIE
COUNTY
FILE # 4856199 OR
BOOK 4601
PAGE 1346,
Recorded 04/29/2021
12:56:15 PM
PERMIT
�C)TIG hG CONlMFN('`EM .W
The Un11eM1red hereb
_...._ Florlda' S1atjtes, the fn gives notice that improvement w(li be trade to certain real I°wing tnforrnaUon made
In this Notice of Commencement.property, and in accordance with Chapter 713,
t • DESCRIPRION OF PROPERTY (Legal description oaf the
property SUBDIVISION & street address, If available) TAX Fouo No.: 3414-50I-1111-400-0
ST LUCIE GARDENS 24 36 40 BLK 3 S 16 � 3 TRACT iJoT 1—=--EILDG----�—UNIT_____
5 FT OF LOT 11 (1.25 AC) (MAP 34/24S) (OR 1225-1171 -7775 Gull t ' o ti Pl Port St Lucie, FL 34952
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Windows & Doors
3. WMER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a Name and address; Carmen Capezzuto & Evelyn R Capezzuto 7775 Gullotti PI Port St Lucie, FL 34952
b. interest in property: Owner
c. Name end address of fee strnpie titleholder (if different from Owner listed above):
a. a. CONTRACTOws NAME,%. THE HOME DEPOT
Cordractor'saddress:2455 Paces Ferry Rd C11 Atlanta GA 33039 754-224-2010
b. Phone number.
b• SURM (If Womble, a copy of the payment bond Is ettach4:
8. NAM ate! address. _ N/A
b. Prone number: C. Amourd of bond: S
b. & LENDERS NAME: NIA
Lmdws address: b. Phone number:
7. Pet -sans within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1) (a) 7., FI orl da Statutes:
a. Name and address
b. Phom nurnben of designated persons
8. a. In addition to himself or herself. Owner designates of
to receive a copy of the Ltenor,s Notice as provided In Section 7'13.13 (1) (b), Florida Statutes.
b. Phone number of person or entity designated by Owns':
9. Expiration date of notice of Commencement (the expiration date may not be before the completion of construction and final
payment to the contractor, but will be 7 year from the date of recording unless a different date is specified): _ . 20
RNING TO OWNER: ANY PAYMENTS MADE By THE OVANER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSWERED IMPRQPEg PAYMENILJUNPER CHAPTER 713, PART ! ECTION 713,13, FLORIDASTATUTES,AND CAN
RESU IN YO R PAYING ICE FOR IMERQVQhENJS TO YoUg PROPERTY, A NOTICE OF COMMEWEMENT MUST BE
F E FIRSTI N IE YOWNTEND TQ OBT&IN FINANQNG,
F MNT
Under pen I'ty of penury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to
e best rn edge and bet
MQK/ P Z-&L*
/Owner
/1 Gf C�Wner O or Lresseers (Print Name and PreAdeSignatory's Ttrie/Otiice)
Alutthorl cerli3frect�orl onager)
tate of FL RIDA
County of Saint Lucie
The foregoing Instrument was aftowledged before me this 25 day of January Z0 21
by Carmen Capezzuto as OWNER
(name of person) (type of authorlty`��si �ffi --6F Attorney in fact)
for Self CO
.:• . • , ,
(name of party on behalf of whom Instrument was executed) .�` •' • tSS�
0
Personally Known or Produced Identification X Type of Identi tion pidu DL
Notary D . a .
(Print, Type, or S tttp,�t I��` bf Notary Public)
FfeV .1 D-o1-11 (S.Recardtng) r�� IC. s�1
fit 1111000
'tea
HOME
z' SERVICES
Date:
Job Address: 7775 Gullotti Place Port St Lucie, FL 34952
To Whom It May Concern:
This letter will authorize the following person(s) to act as agent(s) on
behalf of RobertoSanchez, CGC1522717 of Home Depot U.S.A., Inc. 2455
Paces Ferry Rd. Atlanta, GA 30339 to submit for and obtain permits with
respect to the installation/inspections maintenance and repair of windows,
doors and storm protection.
Authorized person(s): Tim O'Malley Aaron Hallich
Brian Kirby David Weed
Erick Dedios Christine O'Malley
'1'�71�
Contractor of Record- Roberto Sanchez
Home Depot U.S.A., Inc.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this oe7 day
of , 20ft , by Roberto Sanchez
Notary Public -State of Florida
My Commission Expires:
Is Personally Known X Or Produced
Identification
Type of Identification Produced
(Seal)
Aaron Hallich
NOTARY PUBLIC
jj a STATE OF FLORIDA
Comno GG951577
J'si E Zg1� Expires 112712024
Home Improvement Agreement: Page 1
,. ... ,1 1. YT A - - /r ' —
home mepot .i.Acense FT s - ror the most current USLing VISIL WWW.rnUI[LCUCEJUL.UULLULILC;iLbUINU11LUG1J
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC13311131
CCC1331130
James Smedley
Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC)
Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named belov"7 will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
1. Service Provider Contact Information
Service Provider Contact INTame
Phone # Service Provider Email Address
..1--'..........- .......... .....2. Customer Information
capezzuto carmen
i
Customer Last Name Customer First Name
7775 Gullotti Place
Customer Address
The Home Depot
Service Provider Company Name
Service Provider License #(s)
Ft Pierce 1-1UXVP310
Store # / Branch Name Customer Lead/ PO4
Port Saint Lucie FL 34952
City State Zip
(772) 480-1140 carmencapezzuto@yahoo.com
Home Phone# work Phone## Cell Phone# Customer Email Address
3. NOTICE OF RIGHT TO CANCEL
YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY
CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE
PROVIDER AT:
customercancellationsouth@homedepot.com
OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
':.1250 Linton Blvd Eelray FL 33444
Address City State Zip
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 DOME
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 MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
`SHIPMENT AT HOME DEPOT' S EXPENSE.
THE LAW REQUIRMTHAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR
.RIGHT TO CANCEL. NNIC
SE S GN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN
CORAL AND WRITTEqj���R RIGHT TO EL.
Acknowledged by:
Custoi er S a ure Date
460 Standard Eonn HIA (02 Oct. 20)(E) Generated Dace p a�2_ 2I121 Lea&POn a - L1XV P 117— o.I.s
Home Improvement Agreement: Page 2
.... ..,..... ...... .. -
.4.'Description of Work t : be Performed
A detailed description of the work to be performed is included in the paragraph entitled Scope of work,
Specification, Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this
Agreement. _.... .
:. .. _._........._..... �. _. �. Y
5.- Anticipated Delivery Dafe l Installation Schedule
'Approximate Start Date: 03/22/2021 Approximate Finish Date: 04/19/2021 All dates are approximate
pp pp
and subject to change based on unforeseen events if , including inclement weather, permitting delays, and delays in
air, applicable...
• confirming insurance coverage of Your claim for any re p. .. .. .. .....
._ ...
6. Electronic Records Authorization
You are entitled to a paper a er copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent
i
applies to this Agreement and all subsequent documents and u r tten communications related to this Agreement.a
By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a
Taper p er copy of the Agreement or related documents at no charge. By providing your consent and verifying your
email address above, you confirm that you have access to a computer that can receive and open einai is and PDF
documents.
.. ....... . I'— ... ...
7. Contract Price and Payment Schedule
Payment of the Contract Price is due upon signing unless a different payment schedule is required by law,
y
specified below or in a payment addendum.
Contract Price: $ 35448.40 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ 0.00 (If applicable, total amount of taxes included in Contract Price)
'1► C,r rlmum deposit ON
1 Y applicable to -,D, KA -UE (33 %), IVJ3 ff7 (99
De osit % 25.0 Deposit Amount $ 8862.1 Remaining Balance $ 26586.30
.._.........P................
8. Finance Charges
An interest payments or other finance charges will be determined by Customer's separate cardholder- or loan
y p y T e in addition to Customer's payment under this
agreement, to which Home Depot is I�OT a party, and u ill b p
A reement. Customer is subject to the terms and conditions of the cardholder- or loan agreement, as applicable. No
g
funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments
made payable to Home Depot.
Insurance proceeds will will not be used to pay some or all of the total amount of sale.
..... . .... ........
9. Acceptance and Authorization
'By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Ser-vices or
(b) ry order and arrange for the delivery of special order merchandise, including special order merchandise that
may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Sei-V
y ice Provider's
or permitting ermittin information may need to be provided to You later.) By signing, you acknowledge that: (i) You
have read, understand, and accept this Agreement in its entirety, including the General Conditions and State
Supplement y� (ii)You are receiving a complete copy of this Agreement; (iii) all rights and interests under
if an
this Ag reemen are solely vested in the person listed as "Customer'' above; and (iv) Electronic signatures will be
med origi is all purposes.
X
Cu omer�ignature Date
X / The Home pot 01/25/2021
The Home De of icrital Signature Date
P
For questions related to your installation, contact Service Provider at
For any other concerns, contact The Home Depot at 1-800-466-333 7
460 Standard Form HIA (02 Oct. 20)(E) Generated Date n 1 JO F J2 n.21 Lead/POn 1 _ 1I p 31 0_ v 0.1.8
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