HomeMy WebLinkAboutApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
LULLE-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED-, [IMPROVEMENT' LOCATI014:
Residential
Address: 5511 Seagrape Dr. Fort Pierce, FL 34982
Property Tax ID #: 3402-609-0051-000-4 Lot No. 38
Site Plan Name: Block No. 23
Project Name:
DETAILED DESCRIPTIONOF WORK:
replace 7 windows size for size
New Electrical Meter Second Electrical Meter (Affidavit required)
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: $ 10869.00 Utilities: _ Sewer _ Septic Building Height:
QNER.fLESE. CONTRACTOR:
Name Alicia Villegas Name: Roberto Sanchez
Address: 5511 Seagrape Dr. Company: The Home Depot
City: Ft Pierce State: FL Address: 2455 Paces Ferry Ln. C-11
Zip Code: 34982 Fax: City: Atlanta State: GA
Phone No. E- Zip Code: 33039 Fax:
Mail: 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.
0
StlPFLEM,EN.TA L CC}NSTRIJCTIQN LIEN LAM/ 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 attopney before commencing work or recording our Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF l.01N.
Sworn to (or affirmed) and subscribed before me of aPhysical Presence or Online
Notarization
this _(I_ day of NI f , 207,,A by
{
Name of person making statement.
Personally Known >` Produced Identification
Type of n Pro ed
.P•
( S' re of ota Public- State of Florida �•.'' '' *'• =
rY )
MY COMMISSION # HH 144714
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EXPIRES: September 18, 2025
Commission No. (Seal) '••FgFo;°•'
Bonded ThruNotary Public Underwriters
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