HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / (
Date: Co I a"4 &. J Permit Number: 2Q6 p � J— l c/
® RAC I. Ed
Building Permit Applicati n JUN
Planning and Development Services 2 2 Z020
Building and Code Regulation Division ST. Lucie County Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 9
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: Solar Pool Heating System
PROPOSED.INPROVEMENT..LQCATION:. • , '
Address: 6603 Fort Walton Ave Fort Piece, FL 34951
Property Tax ID q: 1301-612-0100-000-7 Lot No. 20, 21 & 22
Project Name: Roberts
DETAILED DESCRIPTION OF WORK.:
Installation of a roof mounted solar pool heating system
CO NSTRUCTION INFORMATION; 7771
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 6,000 Total Sq. Ft of Construction:
FLOODPLAIN'DEVELOP MENT PERMIT for strp'ctur2s,exemptfr'om Building Code that are in "the
flogdplaln
=NohiesidentidFfarm.Buli,4611n gz%Shedeusgd'exclusively"for construction : -
Mobile/Modularfor temp. construction,offiee: = ,Bldg. involved,in distrib.,of electricity: = ,
Other.' Flood Zone , _ BFE Floodway? Y/N If Y,
_
No Rise Certificate with supportingidata attached? Y/N
All otfier applicable state'and federal permits shall be&obtained-prior to,,commencement of
•.construction. : . �._ `, :. , ' • . .. ° ,. :" , ,°...,
OIIVNER/LESSEE-w.
`CONTRACTOR ` '. ` f
Name Raymond Roberts
Name: Erik F. DeLaney
Address: 6603 Fort Walton Ave
Company: Climatic Solar Corporation
City: Fort Pierce FL State: _
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 34951 Fax:
Phone No. 772-332-4721
Zip Code: 32962 Fax: 772-567-4553
E-Mail: robtz@yahoo.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 $7,500 or more, a RECORDED Notice of Commencement Is required.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Address:
Zip:
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in contylict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
rnmmpnrino work or rPcf_Mine vnur Notice-af Commencement.
Signa ire of Owner/ Lessee/Cc tr c or as Owner
Sig ature of Con c or/Licen Ider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF Indian River
COUNTY OF Indian River
The fo'!�$g�ing instrgm-ent was acknowledged before me
May
The for Ding instr$�ment was acknowledged before me
this of( Me . 20�hy
this day of,U(/�tQ , 20y
Erik F. DeLanev
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 ; e, AMA- NDA S WARREN
Produced
MY COMMISSION # GG149063
ti?'°'%? _ AMANDASli
a,
f' 1, _—EXPIRES October 08, 2021
COMMISSION
(Signature of No ry ublic - State of Florida I
Signature of Notary blic- State f`fl§r . EXPIRES Oclob
Commission No. GG149063 (Seal)
Commission No. G 1C� 49063 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.3/y/2uiy
2021