HomeMy WebLinkAboutApplication All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
r, I U I C U E
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'.'J IMPROVEMENT LOCATION:
Address: 242 NE Jardain RD Port Saint Lucie, FL 34983
Property Tax]D#: 3419-565-0029-000-0 Lot No.23
Site Plan Name: Block No. 73
Project Name: Clero
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 Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 5487 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Iliana Clero Name:Roberto Sanchez
Address:242 NE Jardain RD Company:The Home Depot
City: Port Saint Lucie State: 1:1 Address:2455 Paces Ferry Rd
Zip Code: 34983 Fax: City: Atlanta State:GA
Phone No. (786)285-6050 Zip Code: 33039 Fax:
E-Mail:iclero64@gmail.com Phone No 754-224-2010
Fill in fee simple Title Holder on next page if different E-Mail robertosanchezthd@expeditepermit.com
from the Owner listed above) 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.
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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 Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF L4C COUNTY OF LOJ*(
Sw rn to(or affirmed)and subscribed before me of Swor to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization Physical Presencq or Online Notarization
this�Q day of OC4V {/ 202a by �y is*::;o is day of 2024 by To,.• os
Name of person making sta ement. 'A'" '' ame of person making statement. a
Personally Known OR Produced Identificatio X n ersonally Known OR Produced Identificatio s M
Type of Identification ype of Identification o n � o
Produced cW--n roduced J2 K 0 3
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d (1 N
( ' ature of Notary Public-State of Florida ) a N = j (Sig re of Notary Public-State of Florida )
Commission No. HH 1017 (�/' (Seal) ommission No. HNIO7517 (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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