HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED nn 2
Date: 3'�5 Permit Number:
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Solar PV
PROPOSED IMPROVEMENT LOCATION:
0 2Fo
Building Permit Applicatiavf ,
Commercial Residential X
Address: 5116 Watersong Way Fort Pierce FL 34949
Property Tax ID #: 2532-803-0012-000-2
Site Plan Name:
Project Name: Kothakota
DETAILED DESCRIPTION OF WORK:
Install Roof Mounted Solar PV System
Lot No. 5
Block No.
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
_ Gas Tank
—Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 28,606.00
Gas Piping
_ Sprinklers
Shutters
_ Generator
Sq. Ft. of First Floor:_
—Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dr. Sankara Rao Kothakota
Name: David Reidy
Address: 5116 Watersong Way
Company:Suncool Energy Company
City: Fort Pierce FL State: _
Zip Code: 34949 Fax:
Phone No. 301-938-9503
Address:113 NW 11th Street
City: Boca Raton State:FL
Zip Code: 33432 Fax:
Phone No 561 617 1711
E-Mail: Shankarakothakota@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Info@suncoolenergy.com
State or County LicenseCVC56914
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER N ATTORNEY BEFORE RECORDING YOUR NOT CE OF COMMENCEMENT."
Rev.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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1
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature f Contr ctor/Lic
se Holder
STATE OF FLORIDA
STATE OF F IDA
COUNTY OF Palm beach
COUNTY OF Palm Beach
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _day Of February , 20_ by
this _ day of February
, 20_ by
Dr. Sankara Kothakota
David Reidy
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification x
Personally Known X
OR Produced Identification
Type of Identification
Type of Identification
Produced Drivers license
Produced
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Commission No. GG 161748 �. S mmission#GG 161748
No. GG 161748
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