HomeMy WebLinkAboutBuilding Permit Application..r
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_Permit Number: x0o;�'—o5Al
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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Building Permit Applica o �o�,
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Commercial Residentil X
PERMIT TYPE: Solar
PROPOSED INPROVEMENT LOCATION: ,
Address: 10600 Heil Road Fort Pierce, FL 34945
Property Tax ID q: 2321-501-0023-200-9 Lot No.
Project Name: Harvey/Dixon
DE1.TAILED.DESCRIPTION OF WORK::
. _.
Solar Pool Heating System
CONSTRUCTION, INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 4,800 Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exem11 pt from Building Code that are in the
floodplain:
Nonresidential Farm euildn'g: Temp. Bldg./Shed used exdusiGelyfor Construction : ai
Mobile/Modular.for temp. construction office. Bldg. involved in distrib. of electricity:
Other: Flood Zone BFE:_ Floodway? Y/N If Y, ,
No Rise.Certificate with: supporting;data attached.'.Y/N
11
AII'other applicable state and federal permit's shall be obtained; prior to commencement of,
construction:
rnnrnlFunFccaFer _� :1-CONT'RACTOR•�
Name Thomas Dixon
Address:10600 Heil Road
City: Fort Pierce State:[,_
Zip Code: 34954 Fax:
Phone No.772-446-7738
E-Mail: dickson.tom@att.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Erik F. DeLaney
Company: Climatic Solar Corporation
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-567-4553
Phone No 772-567-3104
E-Mail office@climaticsolar.com
State or County License CVC56671
or more, a RECORDED Notice of Commencement is
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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.
1 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 Assocation 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.
Inconsideration 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 pro erty. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection f you intend to obtain financing, consult with lender or an attorney before
rnmmanrinP wnrk nr rer r inP vralr NntirP f Commencement.
I'll J
O
si ature of O n / L ssee/ elctor as or Owner
Signa re of Contract r icense d
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
The f going instru nFF w--as acknowledged before me
day b1 U� 20� by
The for oing inst ggot was acknowledged before me
this day of �P I�/UG / 20 d by
thiy of
Erik F. DeLanev
Erik F eLaney
Name of person making statement.
Name of person making statement.
Personalty Known
sonally Known fk :... 50 1¢p1111Alpgt WS WAR
•••�-
Type of Identification AMANDA S WARRE
Ty a of Identification ;•= MY COMMISSION # GG1
Produced _ _ OMMISSION # GG149
duced XPIRES October 08, 2
g� •,
EXPIRES October 08, 202
«n,:
1
( gnature of Notary blic-State of Florida)
(ignature of Not ublic- State of Florida I
Commission No. GG149063 (Seal)
Commission No. r 144GF.1 (Seal)
REVIEWS
FRONT
=REVIEW
UPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. -179/2019