HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Sll 13j2.d Permit Number:2OO `S 02 / U
RECEIVED
k` MAY 13 2020
Building Permit Application
ST. Lucie County, Permitting
Planning and Development Services
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: Solar
ON *^ a
040SMINA," /-ME-45L51Q„
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Address: 2453 Johnston Rd Ft. Pierce, FL 34951
Property Tax ID #: 1334-501-0084-000-9 Lot No.
Project Name: Averill
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D 7QI) EQ DESGRIF7ION C7F'Wok
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Installation of a solar pool heating system
CONSTRUCTION INFQRMA°TION *�' " : 2 ; v
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Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 'boa . ao Total Sq. Ft of Construction:
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ing Codethat are In,the
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OW�fi LESS Ea''� CONiPt,QR "
Name Christopher Averill
Name: Erik F. DeLaney
Address: 2453 Johnston Rd
Company: Climatic Solar Corporation
City: Ft Pierce State: r-L,
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 34951 Fax:
Phone No. 772-284-4434
Zip Code: 32962 Fax: 772-567-4553
E-Mail: caveri11469@gmail.com
Phone No 772-567-3104
Fill in fee simple Title Holder on next page ( if different
E-Mail office@climaticsolar.com
State or County License CVC56671
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,
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State: _
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Address: Address:
City: City:_
Zip: Phone: Zip:_
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 permitholder 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
rnm monrinc.wnrk nr ramrdine vnur Nntice of'Commencement. %1
vSig
ature of Owner Less e/C a ra - or Owner
Sign ure of Contractor/Licens e
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF Indian River
COUNTY OF Indian River
The forgoing instrume nt was acknowledged before me
l I"I 20 ' by
The forgoing instru ent was acknowledged before me
this � day of 20Q by
this day of RT
N
Erik F. DeLaney
Erik F. DeLaney
Name of person making statement.
Name of person making statement.
Identification
Personally Known V OR Produced Identification
Personally Known OR Produced _
Type of Identification
Type of Identification
Produced
Produced
er':'°,, AMAND
(Signature of Nbtary PubIi
.Wt "o Jor'
of N ry Public• State f Flo is MY COMMISSIO
My COMMISSION# GG1:9,MIature
,
d4''• EXPIRES OctoCommission
No. GG14
' (6Af511F:ES October08,
2fission
No. G ,9GG1491G1 p'1S'eal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1/9/LU19
2021