HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (SIGNED)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit N umber:
�40 �QIlC;
17 0 - ' 16 p Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SOLAR PHOTOVOLTAIC - ROOF MOUNT
Address: 5108 PALM DR
Property Tax ID #: 3402-608-0353-000-8 INDIAN RIVER ESTATES -UNIT 07
Site Plan Name: BRADFORD J TERRY & DIANE PREVOST, 5108 PALM DR, FORT PIERCE, FL 34951
Project Name: BRADFORD J TERRY & DIANE PREVOST, 5108 PALM DR, FORT PIERCE, FL 34951
INSTALLATION OF A 7.14 KW ROOF MOUNTED SOLAR PHOTOVOLTAIC SYSTEM
New Electrical Meter Second Electrical Meter
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:
Cost of Construction: $ 26,775
Name BRADFORD J TERRY & DIANE PREVOST
Address: 5108 PALM DR
Sq. Ft. of First Floor:
Lot No. 5
Block No. 50
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. (954) 234-0891
E-Mail: prevostdiane@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: GARY BRAIG
Com pa ny: SOLAR SUN LLC
Address: 6090 CENTRAL AVE
City: SAINT PETERSBURG State: FL
Zip Code: 33707 Fax:
Phone No 727-888-6000
E-Mail operations@mysolarsun.com
State or County License EC13008840
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.
DESIGNER/ENGINEER:
Name: SPENCER N. ROBINSON
Not Applicable
Address:921 SHADOW DR.
City: LAKELAND
Zip: 33809 Phone 863-815-9541
State: FL
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as mcicateci.
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 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 attorne before commencin work or recordin our Notice of Commencement.
Signature olwner/ Less-de/Contractor as gent for Owner
Sigftgure of Contractor icense Holder
STATE OF FLORID
STATE OF FLORIDA
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COUNTYOF 1/' (Uc-%/.G�=�
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn -to (or affirmed) and subscribed before me of
i/ Physical Presenceor Online Notarization
Physical Prese ce or Online Notarization
day J(=K A0� 2020 by
this 2� day of = £ R 2020 by
this`.i of C
Name of person making
Name of person making statement.
%statement.
Personally Known '" OR Pro Idel"cA*vcso
Personally Known ✓ OR Produced Identification
Type of Identification r'''j���'���I NOTARY PUBLIC
Type of Identification Alisa Amoroso
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Produced "'"' ESTATE OF FLORIDA
Produced ¢-NOTARY PUBLIC
Comm#GG971132
3I =STATE OF FLORIDA
Fxmlres 3/18/2024
Comm# GG971132
(Signature of Notary Public- State of Florida )
(Signature of Notary Public- Sta idEalpires 3118/2024
Commission No.e-' 6'97113 z- (Seal)
Commission No. 6, C c/ 7// 32 (Seal)
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