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All 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 Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEM"E.NT LOCATION:
Address: 1501 N 42nd St. Fort Pierce, FL 34947
Property Tax ID #: Confidential Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:`
replace 9 windows size for size — vv%p&,c T
New Electrical Meter Second Electrical Meter
(Affidavit required)
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: $ 13066.00 Utilities: —Sewer —Septic Building Height:
Name Confidential
Address: 1501 N 42nd St.
City: Fort Pierce State: FL
Zip Code: 34947 Fax:
Phone No.
Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Roberto Sanchez
Company: The Home Depot
Address: 2455 Paces Ferry Ln. C-11
City: Atlanta State: GA
E- Zip Code: 33039 Fax:
Phone No 754-224-2010
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.
Is
St PPLEMENTAL 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 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 attormev before commencing work or rernrding vnur NntirP of CnmmPnrpmPnt_
Signature of Own Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and s}�bscribed before me of Physical Presence or Online Notarization
this V 1 day of /UD V , 202,� by
, A �4
Name of person making statement.
Personally Known pw- roduced Identification
Type of 1 ion Produced
re of No ry Public State of FI .........JONATHONTHOMAS
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Commission No. (Sea ;� „ myCoNIMISSION#HH1g4714
SePtemt�er 18, 2025
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