HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
1` r ISI�S��LS
Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:Solar PV System
PROPOSED IMPROVEMENT LOCATION.-
Address:
OCATION:
Address: 406 Coconut Ave E Port Saint Lucie, FL 34952
Property Tax ID #: 3419-510-0128-000-4
Site Plan Name:
Project Name: Rosado Residence
I DETAILED DESCRIPTION OF WORK:
Installation of Solar PV System
New Electrical Meter Second Electrical Meter
,
Lot No.
Block No.
I CONSTRUCTION INFORMATION: I
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: $ 9280.00
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Elohim N Rosado
Name: Michael Vergona
Address: 406 Coconut Ave E
Company: Urban Solar Group
City: Port Saint Lucie State: -EL-
Zip Code: 34952 Fax:
Phone No. (772) 828-5413
Address: 990 S Rogers Circle, Suite 4
City: Boca Raton State: FL
Zip Code: 33487 Fax:
Phone N0561-609-2664
E-Mai1:elohimni24@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E -Mail permitting@urbansolar.com
State or County License CVC56948
IT value or 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: _
Name: wnnandY Lawrance
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Add ress: NOS Rogers Circir. suRa 4
Sw n to (or affirmed) and subscribed before me of
Ph sical Presence or Online Notarization
Address:
this day of 2020 by
City: Boca Raton
Zip: 33467 Phone6e1a09-2884
State: FL
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
,,rt
Type of Identification �p Stephanie M Todd
Address:
Produced M commisson GG 945800
City:
Expires 01/09/2024
City:
Zip: Phone:
/Wignatuire of NotaryyPublPublic- State of Florida)
Zip: Phone:
Commission No.& 45 !iO (Seal)
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 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 attorney before commencing work or recording vour Notice of Commencement.
Signature of O er Lessee Co tractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI A"_ n
STATE OF FLORIr q
COUNTY OF J: taJ l 4(iJ 1
COUNTYOF C
Sw n to (or affirmed) and subscribed before me of
Ph sical Presence or Online Notarization
Swor to (or affirmed) and subscribed before me of
P ical Presen a or _ Online Notarization
this day of 2020 by
this -day of 2020 by
Y�11�eQ er��►�
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Name of person making tate nt.
Name of person making statemenIV
Personally Known u dep ' ii:otF4er,azLrodel'd
Known R edNderrlpfio6ti8�te or Fariaa
,,rt
Type of Identification �p Stephanie M Todd
peentification Stephanb M Tom
MY Commisagn GG 845800
Produced M commisson GG 945800
res Ot/09/2024
Expires 01/09/2024
/Wignatuire of NotaryyPublPublic- State of Florida)
Signat re of Notary public -State of Florida )
Commission No.& 45 !iO (Seal)
Commission No. (Seal)
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