HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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
LREC"VED
N 2 2 2020
Building Permit Applic county, Permitting
Commercial Residential x
PERMIT TYPE: Solar Pool Heating System
�PROP.OSED INpROVEMENT;LOCATION:=4-
Address: 6603 Fort Walton Ave Fort Piece, FL 34951
Property Tax ID #: 1301-612-0100-000-7
Project Name: Roberts
Installation of a roof mounted solar hot water system
Cost of Construction: $ 5,500
Total Sq. Ft of Construction:
Lot No. 20, 21 & 22
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain: '.
Nonre'sidentia`ItFarm;Build ing =', Tenip Bldg %Stied used;exclusively;for construction. =
Mobile/Modulaf for temp; construction office ' ° Bldg. involved' in distrib. of electricity:
Other: .F - Flood zone., BFE:=' Flo' y? Y/.N If Y;
No Rise Certificate with supporting data attached? Y/N , •:
All other applicable state nd federal perrril s shall be obtained prtortorieo�nmencement of y
construction ; _ . , •s ` J a �F.
OWNER/LESSEE r t=CONTRACTOR
`
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: 772-5674553
Phone No 772-567-3104
E-Mail:-robtz@yahoo.com
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 TITLE HOLDER: _ Not
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
Zip:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Instanation as mmcatea.
I 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 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
--mmenciniz work or reegirding Vour No ' of Commencement.
v. Ir
Sigrtture of Owne / Lessee/C ac or a QTMr Owner
Signature of Contrac or/License H er
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF Indian River
COUNTY OF Indian River
The for oin instry�m��e��n_tt _w,,as acknowled 4r��,�,,before me
this May of� 20 OA1 by
The fo oing instrument was acknowledged before me
this-1 of ✓ I! , 20M by
Erik F. DeLaney
Erik F Del aniny
Name of person making statement.
Name of person making statement.
Personally Known VOR Produced Identification
Personally Known OR Produced Identification _
Type of Identification
Type of Identification
Produced ..•••.
AMANDA S WAR
u ed ••••�.,
A ..•'._ AMANDA
;..•
'- MY COMMISSION # GG
.�.•�
490 = MY COMMISSI
EXPIRES October OB,
02 "� ; ,,,; EXPIRES Oct
( ignature of No ry Public-
ignature of No ry Public-
ture of Notary ' blic- State(
ture of Notary ' State of��
Commission No. GG149063 (seal)
Commission No. l4A063_ (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1/9/2Ul9
GG149063
08, 2021