HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r — Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit ApplicatiogAn 2-2 2020
Permitting Department
St. Lucie Countv
Commercial Residential xx
PERMITTYPE: X - N n 1X'—
PROPOSED IMPROVEMENT LOCATION'
J!
Address: 7750 Gullotti PI. Port St Lucie FL 34952
Property Tax ID#: REDACTED 5D)- L�\2- Jpp/(P
Site Plan Name: Mosley
Project Name: PV MOSLEY
DETAILED DESCRIPTION OF WORK:
Installing a roof mounted solar photovoltaic system
Lot No.
Block No.
I 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:
_ Gas Piping
_ Sprinklers
Cost of Construction:$ 100 3!l016D
_ Shutters
_ Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
_ Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mosley, Mathew
Name: Daniel Yates
Address:7750 Gullotti PI
Company: Efficient Home Services of Florida
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No.719-213-6175
Address:9416 International Ct. N
City: St. Petersburg State: FL
Zip Code: 33716 Fax:
Phone No844-778-8810
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permitting@ehsfl.com
State or County LicenseEC13008759
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Flame: D. Chad Godwin
MORTGAGE COMPANY: _ Not Applicable
Name:
Ad d reSs: 8378 Fadaii Loop
Address:
City: Pensacola State: FI
Zip: 32526 Phone 1156-712-0219
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 con, 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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature & bwne Lessee/Contractor as Agent for Owner
u�tor/License Holder
STATE OF FLORIDAF [ort do
COUNTY OF lA
STATE OF FLORIDA Florida
COUNTY OF
The f oing instru nt was a knowled efore me
this day of 2by
The f oing instrum was acknowledg d before me
this ntday of 2 by
CS
Name of -person making statement.
Name of person making statement.
Personally Known A OR Produced Identification
Personally Known I OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sigrraturel6i"Notall Pub io- tatgof,,Florirl
ao N6�)ry Public State of Florida
Danielle N Rutledge
�a�ay� < I.y��tmission GG z4eaas
-('gn ture of Notary Public-S tegfi Fdgridarjtary.Publlc state of Florid
(� :°� �; Danielle N Rutledge
i`� r x g /�y{�mission GG 24a648
Commission .. ,+t'`
r pn no' pi�e4o8115/2D22
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