HomeMy WebLinkAboutBuilding permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
l ��
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial X
PERMITAPPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION.
Address: 6201 MINUTE MAID RD FORT PIERCE, FL 34945
Property Tax ID #: 1206-501-0017-000-5
Residential
Site Plan Name: PELICAN SOLAR ENERGY CENTER SITE DEVELOPMENT PERMIT PDS2019-161
Project Name: PELICAN SOLAR ENERGY CENTER 3 WIDE TRAILER
Block No.
3-WIDE TEMPORARY OFFICE TRAILER WITH TEMPORARY FPL POWER HOOK UP AND TEMPORARY TOILETS ON HOLDING TANKS.
INCLUDES NEW METER AND TEMP POWER ASSEMBLY FOR POWER TO TEMPORARY TRAILER COMPOUND.
New Electrical Meter X
Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tanl< _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 2000
Cost of Construction: $ 15000
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERJLESSEE:
CONTRACTOR: 'I
Name FLORIDA POWER & LIGHT COMPANY, A FLORIDA CORP.
Name: WESLEY SHANE IMBERT
Address: 700 UNIVERSE BLVD
Company: MOSS & ASSOCIATES, LLC,
City: JUNO BEACH State: FL
Zip Code: 33408 Fax: NA
Phone No. 561401-2433
Address: 2101 N ANDREWS AVE
City: FORT LAUDERDALE State: FL
Zip Code: 33311 Fax: NA
Phone No 954-999-2064
E-Mail: DEREK.KERLEY@FPL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail SIMBERT@MOSSCM.COM
State or County License CGC-1511453
If 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 C.0NOMUIC"'ill ON LIEN LAW INFORMATION,
I�ESIGNEIt ENGINEER: _ Not Applicable M0RTGAGE COMPANY t Y Not Applicable
Nnip e:awwruW u^ r, Name:
Address: wt�hnrW Address:_
City_ «1141.�_ i State: n city. - State:
Zip.Zip: _ Phone:•
PEE SIMPLE TITLEHOLDER: x Not Applicable BONDING COMPANY. � � riot Applicable
Name: Name.
Address: Address.
City= City:
1
Zip' Phone- Zip: Phone•
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C«'+fiJNER/ 'CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to .do the work and installation as indicated.
I certify that no work at -installation has cornmenced prior to the issuance of a permit.
st, Lucie Countmakes no representation that is rarrtrn a1 ermrt will authorize the errnit holder to build the subject structure
which is in con Kitt with any applicable Horne Owners Asoration
rules, bylaws oran9covenants that; may re trict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictiwhit may apply.
ons
I n consideration of the granting of this requested pemlit, I do hereby agree that I will, ire all respects, perform the work
in accordance with the approved plans, the Florida RuifdingCodes and St. Lucie County Amendments,
The following building permit applications are exempt from undergoing a full conc.urrency 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 fraying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and pasted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work ar re, In our Notice of Commencementt
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Signature of Owner%Lessee/C r or as Agent for Owner Signature of ontr�ctorAtcense Holder
STATE OF FLQR - STATE OF FLORi i
COUNTY C3F l w k CO1, NTY OF
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Sworn to (pr affirrrmedj and subscribed before me of Sworn to (or affirmed) and subscribed before me o� f
PilVcal Presence or online Notarization Ph �14 1 Presence or Online Notarization
this day Kaf F ?f!?o by Ihrsv d'ay of�_
— , 2fS2f3 by
Name of person making 5tateriment. Nance of person making statement.
Personally Known OR Produced identiflcatlon Personally Known OR Produced identification
Type of Identification Type of Identification �—
Produced Produced
tPR Faye t. Boggs
t,
(Signature of Notary Public- St L
' of Lary PCihlic- f
s STATE
Syr otary Public State of 1 ida i C �1 8
Commission No. Comrnis *on
pip anon V Sable No.
• My Commission GG 9 6291 Expires 2/2 /
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