HomeMy WebLinkAboutapplicationAll 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
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 2403 Melon CT Fort Pierce, FL 34982
Property Tax ID #: 2421-605-0025-000-7 Lot No. 2
Site Plan Name: Block No. 4
Project Name: LYNCH
DETAILED DESCRIPTION OF WORK:
REPLACE 3 WINDOWS 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 Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers —Generator 4—Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 3196 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name CODY LYNCH
Name: Roberto Sanchez
Address: 2403 Melon CT
Company: The Home Depot
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No. 302-462-7761
Address:2455 Paces Ferry Rd
City: Atlanta State: GA
Zip Code: 33039 Fax:
Phone No 754-224-2010
E-Mail: codylynch@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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONS".
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone_
FEE SIMPLE TITLE HOLDER
Name:
Address:
City:
Zip: Phone:_
UCTION LIEN LAW INFORMATION:
_ Not Applicable MORTGAGE COMPANY:
Name:
Address:
State: City:
Zip: Phone:_
Not Applicable
BONDING COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
ate:
Not Applicable
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
.. ... ,.I ,.r ,. .,++,..-,...,,ri nrt %Ain rL nr rornrHina x/m it NntirP of i'nrY mPnr'PmPnt.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID
STATE OF FLORIDA
�W—
COUNTY OF /7
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
/Physical Presence or Online Notarization
Physical Presence or Online Notarization
this 4A�' day of/�L/��5 2020 by
this ' day/of 2020/by
/
Name of person making statement.
Name of person making statement.
Personally Known / OR Produced Identification
Personally Known / OR Produced Identification
Type of Identification
YP ��y Aaron Hall'ieh
Type of Identification tkRY Aaron Hallieh
Produced �o q
Produced o�P1pTARY PUBLIC
o NOTARY PUBLIC
Q.
STATE OF FLORIDA
o
—STATE OF FLORIDA
o
W ,...
(Signature of Notary Public' FltrAW. s 1/27/2024
(Signature of Notary Public- Stat a
xpires 1/27/2024
Commission (Seal)
Commission No. 6L<r_r1_d77 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. �1n/zu
IlV`A0V'�_
MICHELLE R. MILLER, CLERK OF THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 4843949 OR BOOK 4586 PAGE 1435, Recorded 04/07/2021 11:03:01 AM
&UER R p4
PERWiIT NLiM113ER:
:NOTICE, OF CO MENCl��.:
The undmIgned hereby giveS noticx that Improvement will be -made -to certain.reat paroWy, and in accordance wi3li Chapter 713,
Flaride Statutes, the -folloabg Informatitlis provided In ails Notice of Comrnencment.-
1, D SCRIi f10N OF PROPERW (Le4ai de;&0ion of the mpoiy & stmt address, If altallable) TAX FOLIO NO.: 2421-605-0025-000-7
SUBDIVISION -BLOCK 4 TRACT LOT, __ BLDG_UNrr
ORANGE BLOSSOM EST -SECOND ADDN BLK 4 LOT 2 (0.19 AC) 2403 Melon CT Fort Pierce, FL 34982
2. CEN RALDESCRIPTIONOF1MPRbVEMENT: Windows & Doors
3. OWNER 1NFORM ATION Oit LESSEE INFORMATION IF IMC LESSEE CONTRACTED F011 THE 1MPROVI3V(1] r:
a. Nar,Q and address Cody William Lynch 2403 Melon CT Fort Pierce, FL 34982
tL-lmerest In property: Owner
c, wane and address of Iet s(mpit Ull"lder (Ir dtfkml from owner listed AMC
A, a. CONTRACTORISNAME: THE HOME DEPOT
Corwclors ad&w: 2455 Paces Ferry Rd C 11 Atlanta GA 33039 b Ptloro number: 754-224-2010
5, SURETY (If applicable, a copy of the payment band (s attndwA:
a. Name and address: N/A
b. l"hDne numbs: c. Atnourt orbmd: S
6. it. LENDERIS NAME: NIA
Laidcr'a address: -- b.-Mme mmber
7, Persons within the State of Florida designated by Owner upon whore notices or other documents may.be saved as provided by
Section 713.13 (1) (a) % Florida Statutes:
a. blame and address .
b ,Phone ruemtas of OerJgnated Wswr ,
8. a. In addition to Iilmsetf or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
b. pliom num1w of W wn or enilly desigreled by owner:
,9. Expiration date of notice ol'commencement (the expiration date may not be before the completion of construction and nnat
payment to the contractor, but will be 1 year from the date of recording artless a different date Is speclfled): , 20_
ura oMrnlr_ 'rn r)WAIFR- ANY PAYMENTS ivAY THE OWNER AFTER THE EXPiRA11QN QF�{g NOTIQE OF t'[)�iIMENCEMEI�f
R 5ULT Iry Y T T S 1
RECORDED AbID M_ _N___.......I 1%AI AtACAi(%wir- vinov no RF:rnpnipir. Yni iR NnTlf'F QF C.OMMFNCEMENT.
Under penalty Of per eclare that .t have.
WQ best of my k be acid belief.
r or , Qwner' firs
prized Off cer1D Parttiler/Managq�
State of FLORIDA
County of Saint Lucie
e foregoing notice of commencement and that the -facts stated therein are true to
—
Cody Lynch /Owner
(Print Nam and Provide Signatory's T10dofftce)
tZ 41RA:"l g - -, /
The fore vl instrument acicn I ed before. this day of 20
9
OWNER
J as
by tame of Pe n} (type of atlthorlty,.; .e.g, officer, trustee, attorney in fact
rur SELF A/
.{name or party on behalf of wham lnstrument was execul
Personally Known _,_._ or Produced Ideri ication Type of Ident!ncation Produced
. oo Pia& Notary, PubIi- S 1
'Kevin C WaIS (Signature of Notary
My commission D4 t2s»� (p ype, or Stamp Com>nlssloned time oP Notaryy Public]
Ex rep 071IW202 t
l
' HOME
A.""I SERVICES
Date:
Job Address: 2403 Melon CT Fort Pierce, FL 34982
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
Contractor of Record-- Roberto Sanchez
Home Depot U.S.A., Inc.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this_g!�-/ day
ofAob4 , 20 Al , by Roberto Sanchez
Notary Public -State of Florida
My Commission Expires:.
Is Personally Known X Or Produced
Identification
Type of Identification Produced
V
,*on Halkh
NOTARY PUBLIC
STATE OF FLORIDA
WComm# GG951577
Expires 1/27/2024
nosiai� �
Home Improvement Agreement: Page 1
r T
Home Depot License Ws - Tor the most current listing v15iL WW w .(-11.7L11GUG6!%JL.LAVL1U L1yV117�1 •aiiivvu
FL: EC0001440, CGC1514813, CRC046858, CAC1813767, CFC1426021, CFC1427642, 22640, CAC 1818831, CCC13311131
CCC1331130
Kevin Walsh
Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC)
e of U.S.A. Inc.("Home De ot" or Authorized Set -vice Provider named below will furnish, install and/or
Home D p Depot")
service the equipment listed below at the price, terms and conditions as outlined on this forth.
1. Service Provider Contact Information
The Home Depot The Home Depot
1 Service Prov
ider Contact Name Service Provider Company Name
(754) 224-2090
Phone # Service Provider Email Address Service Provider License #(s)
2. Customer Information
LYNCH
CODY Ft Pierce 1-1VF7LHAG
Customer L
ast Name Customer First Name Store # / Branch Name Customer Lead/ PO#
2403 Me
lon Court Fort Pierce FL 34982
Customer Ad
dress City State Zip
(302) 462-7761 codylynch@hotmail.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; E ING SERVICE
PROVIDER AT:
customercancellationsouth@homedepot.com
OR
DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
1250 Linton Blvd Delray FL 33444
Address
City State Zip
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
UPPLEMENTUPPCEMENT PR
SOVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
':CON
TAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
:YOUR PAYMENTS 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
,SAM
E 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 REQUIRES
THAT THE HOME DEPOT YOU TOTICE EXPLAINING YOUR
RIGHT T O CANCEL. PLEA E SIGN BELOW ACKN D GE THAT VE BEEN GIVEN
CORAL AND WRITTEN NO E OF GHT T AN L.
[63/18/2021]
`Acknowledged by:
•Date
C stomer' gnature
460 Standard Form HtA (02 Oct. (E) Generated Date n � ? Q 71 LeadlPO# , -I NIE71 H f ;_ �' 0.1.9
- ------------
home Improvement Agreement: Page 2
-: . ......... . ... .... ........... .... . ... ..........
. ..............................__ ......
........ .... ..... ..... . ..... ....... . ........ .... .............................
4-- Descrip lion of Work to 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. ........ ............. ._
.................. _ ....... ...... .. �... r...v....
5 Anticipated Delivery Date./ Installation Schedule
? Approximate Start Date: 05/13/202Approximate Finish Date: 06/10/2021 All dates are approximate
and change subject to che based on unforeseen events including inclement weather, permitting delays, and delays in
g
.:confirming insurance coverage of Your claim for an repair, -if a licable.
v--......-.::.....:.......:..,...... g..-
__ y
6. Electronic Records Authorization
You are entitled to a paper copy a y of this Agreement if you choose. If you consent to an e-mailed copy, your consent
applies to this Agreement and all subsequent documents and written communications related to this Agreement.
By contacting your Service Provider, you may update your email address, withdraw your consent, or obtain a
paper 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 emails and PDF
docum... . .......... .... . : ...ents....... ....
.
7. Contract Price and Payment Schedule
Payment 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: $ 3196.09 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ 0.00 (If applicable, total amount of taxes included in Contract Price)
auxinium deposit ONLY applicable in -,D, .11A ? E (33 %), ATJ, Tf/7 (99 ro1
Deposit % 25.0 Deposit Amount $ 799.03 Remaining Balance $ 2397.06
.....�.........P.............. .........:
8. Finance Charges
Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan
agreement; to which Home Depot is NOT a part}; and will be in addition to Customer's payment under this
Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No
: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 ...... ... ................... .............. .. . ...... . I .... . .be used to pay some or all of the total amount of sale.
... ... : ........... .....
:....... ........... ...... ................... - .......... ........... . ... ...
9. Acceptance and Authorization
By b siQnina below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or
b
(b) 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. (Service Provider's
or permitting 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, if any; (ii) You are receiving a complete copy of this Agreement; (iii) all rights and interests under
t 's Agreement are solely vested in the person lis.. ....... ..... ..te comer above; and (iv) Electronic signatures will be
de .... .... . . ......
rr d ori..... ... 1-- .....ginals fo - rpose........ ....... . ... ....-s. ...... .. .....
i 2nature
X I /s/ Th$ Home Depot I
The Home Depot Digital Signature
03/18/2021
Date
03/18/2021
Date
For questions related to your installation, contact Service Provider at (754)
For any other concerns, contact The Horne Depot at 1-800-466-333 7
460 Standard Fonn HiA (02 Oct. 20)(E) Generated Date n 3,118T2 n.2i Lead/PO4 -1 - I VF2 -HA G, N' 0.1.9
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