HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
t� L,LEIULl
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:SOLAR
PROPOSED IMPROVEMENT LOCATION:
Address: 5601 CASSIA DR FORT PIERCE FL 34982
Property Tax ID #: 3402-610-0113-000-1
Site Plan Name: PV BOND
Project Name: PV BOND
Residential XX
Lot No. 30
Block No.
I DETAILED DESCRIPTION OF WORK: I
INSTALLING A ROOF MOUNTED SOLAR PHOTOVOLTAIC SYSTEM
New Electrical Meter X Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
X Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 42450
Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAWN BOND
Address:5601 CASSIA DR
N a m e: DAN I EL YATES
Company: EFFICIENT HOME SERVICES OF FLORIDA
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No. (772) 370-1672
Address: 9416 INTERNATIONAL CT N
City: ST PETERSBURG State: FL
Zip Code: 33716 Fax:
Phone No 844-778-8810
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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: REYES RUIZ-DONATE
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 9416 INTERNATIONAL CT N
City: ST PETERSBURG State: FL
Zip: 33716 Phone 844-778-8810
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X 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.
certifythat 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording? vour Notice of Commencement.
Signature o caner ssee/Contractor as Agent for Owner
Signature ntract /License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFPINELLAS
COUNTY OFPINELLAS
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 4 day of JUNE 2020 by
this 4 day of JUNE 2020 by
DANIEL YATES
DANIEL YATES
Name of person making statement.
Name of person making statement.
Personally Known xx OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
4 GO
Produced Lifu
AA10 r.1.
( gnature of Notary Public- State of Flor a)
Si atue of Notary Public- State of Florida
'J �iiF
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Commission No. GG249046 (Seal) Pyi$lmisOn
No.GG249046 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
of Flond.a
+e
249046