HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�M. LUC .
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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:
Ariri,,w 185 SE Serenata Ct Port St Lucie, FL 34983
Property Tax ID #: 3419-540-0135-000-9
Site Plan Name:
Project Name: Rochedieu
DETAILED DESCRIPTION OF WORK:
Replace 2 windows size -for -size with impact
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 31
Block No. 46
Additional work to be performed under this permit — check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters 4Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 2598 Utilities: —Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Leon P Rochedieu
Name: Roberto Sanchez
Address: 185 SE Serenata Ct
Company: The Home Depot
City: Port St Lucie State:FL-
Zip Code: 34983 Fax:
Phone No. 772-359-2353
Address: 2455 Paces Ferry Rd
City: Atlanta State. GA
Zip Code: 33039 Fax:
Phone No 754-224-2010
E-Mail: Irochedieu@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 KtCUKUtU Notice OT commencement is requireu.
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 recordin your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORI A.
COUNTY OF % /
COUNTY OF /c
Sworn to (or affirmed) and subscribed before me of
t Physical Presence or Online Notarization
this Zt�- da/y of �2� 12020 by
Sworn to (or affirmed) and subscribed before me of
4 Physical Presence or Online Notarization
this of , 202,0 by
/� /
����day
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Name of person making statement.
Name of person making statement.
Personally Known � OR Prod I enRifiiW!HaHi hh
Type of Identification NOTARY PUBLIC
Produced _STATE OF FLORIDA
Comm# GG951577
El 0Exnires 1 /27/2094
Personally Known e"" OR Produced Identification
Type of Identification ot{` yq Aaron Hallich
Produced NOTARY PUBLIC
_'Jr STATE OF FLORIDA
f ' '
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- Stat eWdal!txpires 1/27/2024
Commission (Seal)
Commission (Seal)
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DATE
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COMPLETED
Rev.5/6/20
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