HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: �� �� 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
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION:
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Building Permit Application 5�9✓qy�����
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Address: 613 Beach Ave Port Saint Lucie FI 34952
Property Tax ID #: 3419-510-0130-000-1
Site Plan Name: PV INDARJIT
Project Name: PV INDARJIT
DETAILED DESCRIPTION OF WORK:
Installing a Roof Mounted Solar Photovoltaic
Commercial Residential XX
Lot No.12
Block No. 14
I CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of nstructon:$�_': r .. Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dave Indarjit
Name: Daniel Yates
Address:613 Beach Ave
Company: Efficient Home Services of Florida
City: Port St Lucie State: _
Zip Code: 34952 Fax:
Phone No. (754) 246-1540
Address:9416 International Ct. N.
City: St. Petersburg State. FL
Zip Code: 33716 Fax:
Phone N0844-778-8810
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 License EC13008759
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.
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SUP LEME Tv L @ �_ STR{J I, N L ,N INFO
A .I R1 -
DESIGNERtENGINEER; _ NotAppiieable
Name:o-cnado«a
MORTGAGE.COMPANY= _ Not:Appfikable
Name,
AddreSS:ea,e Forma r„a
Address:'.
Clty;. va—?a State,:".-
Zip: snzs Phone�-712me _
City: Stater
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _NbtApplicable
Name-- _
BONDINGCOMPANYc ^Not Applicable
Name,
Address: _ _
Address: -
city, - - - _
Clty
Zip: — phone:
Zip, Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is, hereby made to obtalria 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.
In consideration of the granting of'thrsrequested permit; (do hereby agree that I will; in all respects, perform the work
cew ineccordanit.. the approvedplans,thefaorida.11uildingCodes.andSt, Lucie CourrtyAmendments
The following building permit applications w0xempt from undergoing a full concurrency review: room addifions,
accessory structures, swimming pools, fences, walls+:signs; screerurooms and accessoryusestq apothernon-residential use:
.WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF.COMMENCEMFJYT MAX 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 VGUR LENDER OR AN ATTORNEY BEFORE. RECORDING YOUR NOTICE OF,COMMENCEMENi"
rty
Sign' ure of Wndrl Lessee/Contractor as Agent for Owner
Signat�Con ractorjLicense Holder
STATE,OF FLORID r r t
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STATE OF FLORID
COUNTV'OF �jp
COUNTyOF
The forgoing iInstrument wasacknowledged.before'me
The forgoingins u ent'wrasacknowleilgedbeforeme
this day of. ��nlLQ, 20 { y
thisday of C111C �} YTt 2bW,_6y
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Name -of person making statement: "
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Name q personmakingstatement,
Personally Known OR Produced Identificati
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Personally Known :�n OR Produced IdeMlfcaTVPeofidentification
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Type; ofldentificat[onproduced
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REVIEWS
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PLANS
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SEAT.l1RTLE'
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REVIEW
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REVIEW
DATE
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RECEIVED
DATE
COMPLETED
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