HomeMy WebLinkAboutBuilding Permit Application( All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'its zsZ Permit Number: O �y
Building Permit Applicatioirl
Planning and Development Services MAR 1 0 2020
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Pern
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resid
PERMIT TYPE: Solar
PROPOSED INPROVEM,ENT LOCATION:',,
Address S' a1 Echo Pines Circle E G
Property-rax 16 Lot No. Ja
Project Name: Utz
DETAILED DESCRIPTION'OF WORK:
Installation of a roof mounted solar electric system
CONSTRUCTION INFORMATION ' ."` '
Cost of Construction: $ 16,048
Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT,,for structures exernpt,from Building Code,that are, in=the
floodplain: ,,._
Nonresidentia[ Farm" Building: _ Temp:Bldg'/Shed used exclusively for construction:
Mobile/Modular for temp. construction office • Bldg, involvetl in distrib. of electricjty:
;Other: Fvlllood'Zone BFE._, ° Floodway?.Y/N It Y,
_
No Rise Certificate with supporting data attached? Y/N
All other applicable state an'd•feder•al permits shall be obtained,pr•ior to commencement of .,
construction"
'OWNER/LESSEE°
CONTRACTOR '
Name Peter Utz
Name: Erik F. DeLaney
Address: 5207 Echo Pines Circle E
Company: Climatic Solar Corporation
City: Ft Pierce State: _
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 34951 Fax:
Phone No.772-460-7255
Zip Code: 32962 Fax: 772-567-4553
Phone No 772-567-3104
E-Mail: peterutz@utz2.com
Fill in fee simple Title Holder on next page (if different
E-Mail office@climaticsolar.com
State or County License CVC56671
from the Owner listed above)
I 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.
SUPPLEMENTAL CONSTRUCiI0
LIEN LAW 1NFQTiMATtDN
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name-
Name:
Address:
Address:
City: State:
Zip: Phone
City: State: _
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney'before
commencing work RETNording your Neace of Commencement.
tro
Si ture of 0 ner/ Less e C t nt for Owner
Sig lure of Con ac r/Lit s H Id
STATE OF FLORIDA
COUNTYOF Indian River
STATE OF FLORIDA
COUNTYCIF Indian River
The fgr�going mstrurrIent was acknowledged before me
thisydayof /9CwCh 20aby
The for Ding instru��nt'w'�,a,s, �acknowledged before me
this3dayof�20.Zby
Erik F DeLanev
Erik F. nel nnPy
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification_
Type of Identification
Produced
Personally Known VOR Produced Identification
Type of Identification
Produced
Anature��
Notary blic-
State of Florida
u e of Notary Public tate of Florida )
y�`" '-, A A DA S WARRE
L1 •.'; M,��ISSION # GG149
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„ EXPIRES October 08, 20
Commission No. GGfil
mission No. Seal)
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DATE
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DATE
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ev9/2019