HomeMy WebLinkAboutJose Gil Building Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building 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)462-1575
PERMIT APPLICATION FOR:Jose Gil
PROPOSED IMPROVEMENT LOCATION:
Address: 6306 EMERSON AVE Fort Pierce, FL 34951
Property Tax ID #: 1301-609-0049-000-1
Site Plan Name:
Project Name: Jose Gil
DETAILED DESCRIPTION OF WORK:
Installation of photo voltaic solar
els on root.
New Electrical Meter Second Electrical Meter
I CONSTRUCTION INFORMATION:
X
Lot No. 5
Block No. 5
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 33,040
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Jose Gil
Name: Cameron Christensen
Address: 6306 Emerson AVE
company. Momentum Solar
city: Fort Pierce State: FL
Address: 6001 Hiatus Road # 3
Zip Code: 34951 Fax:
City: Tamarac State: FL
Phone No.
Zip Code: 33321 Fax:
Phone No 321 247 6073
E -Mail:
Fill in fee simple Title Holder on next page ( if different
E -Mail flpermits@momentumsolar.com
from the Owner listed above)
State or County License CVC57036
It value of 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: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
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 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 our Notice of Commencement.
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lt*ure of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO�, IDA STATE OF FLORIDA
COUNTY OF FuC+ 'L. t COUNTY OF FoI-4 S+• L UCJ e_,
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 15 day of MY _'2020 by this 15 day of July 2020 by
Name of person making statement.
Name of person making statement.
Personally Known
OR Produced Identification X
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produce4i D
Produced
GEENA ASHLEY HIDA
. nature of otary li
iEd i' Strigialure
ub is .ate of Flor
of Notar blic-
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Lerida mission # GG 3417
- Commission # GG 34177
p mmission Expire3`ll""
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une 04, 2023
Commission No.
-,L-June 04, 2023
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