HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: aDQ& •-03.7o
RECEIVED
FED 13 2020
Building Permit Application. Permitting Department
St, Lucie County
Commercial Residential x
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: ggp3 C"mpions w� j ✓or{ 5.1, L
Property Tax ID #: 3334-501-0036-000-4
Site Plan Name: Carl Palmer -solar
Project Name: Carl Palmer -solar
PG
Lot No.
Block No.
[ DETAILED, DESCRIPTIONOF WORK`. �
installation of solar panels
1' CONSTRUCTION INFORMATION': 'I
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
4 f-\-Y—
Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ lacQgygaUtilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Carl Palmer
Name: Ronnie Padgett
Address: 8937 Champions Way
Company: Marc Jones Construction LLC DBA Sunpro solar
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No. 8133209976
Address: 4994 Eagle falls place
City: Tampa State: FL
Zip Code: 33619 Fax:
Phone No 813-320-9976
E-Mail:_ cgreen@theprocompanies.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail cgreen@theprocompanies.com
State or County License EC13001242
1, Va UU of wrmuucuon rs ;lcauu or more, a Ktwnutu Notice of Lommencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION'LIEN,L'AWIN'F.ORMt
1
t 1'AT
ATION:
1r .e ..: S,i'4'r•5b�i.�4�µ1�
;•• ;« pd ;_; ::.a _,
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 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"
_74?�� 2 S3-
Signature of Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF { - t C i t COUNTY OF Gt2
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this l7day of l-P.b. 202Oby thisI ?-day of 202coby
a)r1 ?01YJnoN- lzonni2 Padae-t-ft-
Name of person making statement. Name of person makihk statement.
Personally Known _
Type of Identification
OR Produced Identification Personally Known OR Produced Identification_
e of Identification
,�`ppY O�ij SARA JEAN CROUC p duced
"""L—SARA JEAN CROL
;� P iCom Public -State of Flor da *+ m,,
Commission N GG 321540 :x° 4. Notary Public -State of F
y Commission Expirey�7;p Commission it GG 321
M April 9, 2023 %;go,,,o ' My Commission Expi
(Signature of Notary Public -State of Florida) - (Signature of Notary Publi(-S_
Commission No. Cna (Seal) Commission No. GIG) .32ISLI v (Seal)
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