HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONor -
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L,-Lo C J ILL
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 867 Nettles Blvd Jensen Beach, FL 34957
Property Tax ID #: 4502-501-1053-000-4 Lot No.
Site Plan Name: Block No.
Project Name: Pepe
DETAILED DESCRIPTION OF WORK:
Replace 2 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 _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2671
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael Pepe
Name: Roberto Sanchez
Address: 867 Nettles Blvd
Company: The Home Depot
City: Jensen Beach State: _
Zip Code: 34957 Fax:
Phone No. (772)341-9013
Address: 2455 Paces Ferry Rd
City: Atlanta State: GA
Zip Code: 33039 Fax:
Phone No 754-224-2010
E-Mail: mpep13@aol.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.
n
N
S :PI i. ENTAL CONSTRUCTION IIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
City:
Zip:
Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:_
Name:
Address:
City:
Zip: Phone:.
State:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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.
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 attornev before commencing work or recordiniz vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORID STATE OF FLORIDA
COUNTY OF COUNTY OF / /U.0N.- 11fie
Sworn to (or affirmed) and subscribed before me of
>2:�_Physical Presence or Online Notarization
this day of 7T 1- , 2026 by
S. G�
Name of person making statement.
Personally Know OR Produced Identification
Type of Identif cation
Produced
(Signatur of Nat�ry P LANNE MYERS
•
.,
Commission �• ••* MY C MI SION # HH 102856
o
EX . March 10, 2025
rof F r. %Q" Bonded Thru Notary Public Underwriters
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this',3C:) day of -7, ;Inc , 2024 by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identifica 'on
Produced
(Signature o
4R,�in"o"
CAROLANNE MYERS
Commission No.M�' �AISSION # HH 1028
EXPIRES: March 10, 2025
a.0," � Bonded Thru Notary Public UndenNn
PLANS I
SUPERVISOR
I REVIEW VEGETATION
I SEA REVIEW I MANG
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