HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 3 as Permit Number:aQn
JUL 13 2020
Building Permit Application
Planning and Development Services [ST. Lucie County, Pern
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X0000000a
PERMIT APPLICATION FOR: Building y
F,PROPOSFD IIVIPRw7VlP 1 FNT I nt"ATlhM- - f5F"
Address: 278 BERMUDA BEACH DR
Legal Description: CORAL COVE BEACH -SECTION ONE- BLK 4 LOT 25 (OR 3914-2782)
Property Tax ID #: 1425.701-0089-00D-7
Site Plan Name:
Project Name: Britt D Reynolds
Setbacks Front Back:
Right Side: Left Side:
Lot No. 25
Block No.
DETAILED DESCRIPTION,OF WORK:
Solar PV System Roof Mount & Interconnection of Tesla Powerwall's
CONSTRUCTION INFORMATION:
` 'a
Additional work to be ertormed under
❑HVAC Gas Tank
this permit— Check
❑Gas Piping
all apply*
❑
_ Shutters
Windows/Doors
Electric 0 Plumbing
Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction: $ 77,612.00
UtilitiestSewer
0Septic
Building Height:
City: Y'F Y L LV'L-I State:(! —
Zip Code: DI 4c1 Fax:
Phone No. 2.' O'3�QJ5
E-Mail: bCA e^icf$ I1 Q "I-, Gn^^
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name' Rafael Angel Gonzalez Mendoza
Company: Go Solar Power LLC
Address: 801 SE 6th Ave
City: Delray Beach State: F�
Zip Code: 33483 Fax:
Phone No. 561-228-4483
E-Mail: Jackson@gosolarpower.com
State or County License: CVC56962
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU P EfvIENTAL�CONSTRUCTiION LIEN IAW�INFOftMArTiION:
rdria.���r�ame
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name: Rafael Angel Gonzalez Mendoza
Address' 278 BERMUDA BEACH DR
Address:
City: State:
Zip: Phone
City: DelayBeacn State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 801 BE sin Ave
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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
commencing work or recording vour Notice of Commpncpmpnt_
Signature of Owner/ Lessee Contractor as Agent for Owner
e o Contrac /License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF siwae
COUNTY OF stud -
The f going instru ent was acknowledged befo
The f going instru ent was acknowledged befNa2A
this day of .20�D by
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this day of 20_ by
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Commission No.
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17