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HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ��� �� Permit Number: ©� RECEIVED Building Permit Applicati n MAR 2 7 ?020 Planning and Development Services Sl". Lucie County, Permitting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X _ PERMIT TYPE: C) CV'rc.,C_ Address: 5111 PALMETTO DR, FORT PIERCE FL 34982 Property Tax ID #: 3402-606-0032-000-6 Lot No. 34 AND 35 Site Plan Name: INDIAN RIVER ESTATES Block No. 5 Project Name: ROBERT HAARER PV SYSTEM 6✓5`,f/ nSJS i �� �F} L'i�fF K„ ���� � e"Le�, ✓. ,,.,3;" � �1 ,i, �, �4{"!',f f;JtS. L'.e 5 ,.,6e, o Y...,; INSTALLATION OF ROOF MOUNTED GRID -TIED PV SYSTEM fl( TF WI;J N INs 03) IVIA7IflNf £, ;` u Additional work to be performed under this permit –check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 42,435.72 Utilities: -Sewer _Septic Building Height: "OWNED/LESSEE �":. " CONTRACTOR' , Name ROBERT HAARER Name: NEAL BURDICK Address: 5111 PALMETTO DR Company: Windmar Home Florida, Inc. City: FORT PIERCE State: FL Address: 6753 Kingspointe Parkway Suite 111 City: ORLANDO State: FL Zip Code: 34982 Fax: Phone No. 772-708-2509 Zip Code: 32819 Fax: 407-502-7055 E -Mail: fisure.1@comcast.net Phone No 407-308-0099 Fill in fee simple Title Holder on next page ( if different E -Mail Neal.burdick@windmarhome.com State or County License EC0002179 from the Owner listed above) 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. <SUPP15 Mg- NTAL GQN&TR,,UCTIOhf LIEN LAW fNFQ iMA7f N yl, Sign ur of ner/ Lessee/Contractor as Agent for Owner DESIGNER/ENGINEER: Name: MIGUEL A. ALVAREZ VELEZ _ Not Applicable STATE OF FLORIDA MORTGAGE COMPANY: Name: _ Not Applicable Address: 6753 Kingspolnte Parkway Suite 111 this gayofty(aam,2020 by Address: CHAD ROGERS as POA for City: ORLANDO State: FL Zip: 32619 Phone 407-368-0699 Name of person making statement. City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable Type of Identification BONDING COMPANY: Name: _Not Applicable Address: (' n ture of Notary Public- State Address: City: o . a ) M ICACARMONA o,.."" y' c MY COMMISSION #GG21296 Commission No. GG212960 City: 0 Zip: Phone: a S52p IRES: APR 30, 2022 one through lst State lnsuran Zip: Phone: ce 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, 1 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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITHX,QUR 1ANDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Rev. 2/7/19 ` V I 0 n, k ( da Sign ur of ner/ Lessee/Contractor as Agent for Owner Signature of Contractor icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE The forgoing instrum nt was acknowledged before me The forgoing instrument was acknowledged before me this gayofty(aam,2020 by thisdayof—_rte _,20yQ by CHAD ROGERS as POA for NEAL BURDICK_._ _ Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced A Agll�'. rO,�Ajz%_� (' n ture of Notary Public- State n a oyw:.. oat MONICA CARMONA Signa ure of Notary Public- State o . a ) M ICACARMONA o,.."" y' c MY COMMISSION #GG21296 Commission No. GG212960 MI) COMMISSION #GG2129 � aIIEXPIRES:APR30,2022 W, 0 ommissionNo. GG212960 a S52p IRES: APR 30, 2022 one through lst State lnsuran 4:: Bonded through let State Insura ce REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 2/7/19