HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMI I I YPE:
PROPOSEDIM
Permit Number:
Building Permit Application
Commercial Residential
Address: 7817 White Ibis Lane Port St Lucie FI 34952
Property Tax ID #: Lot No. 12
Site Plan Name: Barbara Grant Block No. 56
Project Name; Grant Roof Top Solar
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
_ Generator _ Roof Pitch
5q. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BARBARA GRANT
Name: E NETH 1 LIA -- --
Address:7817 WHITE IBIS LANE
Company: TITAN SOLAR POWER FL
City: PORT ST LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. (917) 804-6135
Address: 12221 N US HIGHWAY 301
City: TAMPA State: FL
Zip Code: 33592 Fax:
Phone No 305-7760650
E-Mail: myway53@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail lleune@titansolarpower.com
State or County License EC13008093
va Ur V. C611So uLuon a a<wv or more, a newrcueu Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Address:
Zip:
_Not Applicable
V 1NlvtK/ LUIV I KACI UK AFFIUVIT: 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RE[oRDIeIc YnnR elnnrc n1: nMM9WrI1M11rM11
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID
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STATE OF FL4== �ZD A��.
COUNTY OF A a
COUNTY OF MQ,V1 LQVL& -
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before
me
this )? day of dUI f% , 20 20 by
this _ day of , 20_ by
� 1/III�IIQ VYI�
Name of person making statement.
Name of person making s atemenl.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Ide}�tification ?
Produced la6 �J06I67060
Type of Identification
Produced
(Signature of Nota 11 Pu i -
(Signature of Notary Public- State of a)
ii Z„v
; PHILLIP SORIANO
Commission No. „ "�'• e o1 Flo(r£��lotary Public
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Commission No. ��pp
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=• •- Commission q GG 931627
;h My Commission Expires
r�(�"�i4�' , County
�5�j, r Nicole Davidson
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REVIEWS R
PLANS VEGETATION SEATUR LE
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COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 2/7119