HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: U►�� 0 ' ocnic)
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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 Residential ,4
PERMIT TYPE: Solar
PRO POSE DINPROVEMENT LOCATI0Ns
Address: 6801Coquina Ave Fort Pierce, FL 34951
Property Tax ID q: 1301-611-0325-000-7 Lot No. 28
Project Name: Griffin
DETAILED DESCRIPTION OF WORK: ..
Installation of a solar electric system
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 32,946 Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floddplain:
Nonresidential Farm Building: _ Temp: Bldg./Shed used'exclusively forconstruction,:_'
Mobile/Modular for.temp.,construction office: Bldg `involvgd in distriti. of electricity: _,..
Other: Flood Zone _ � BFE _ Floodway? Y/N IfY, -
, No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
'construction:
OWNERAESSEE:
CONTRACTOR
Name Sheryl Griffin
Name: Erik F.DeLaney
Address: 6801 Coquina Ave
Company: Climatic Solar Corporation
City: Fort Pierce State:
Zip Code: 34951 Fax:
Phone No. 772-971-6815
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 32962 Fax: 772-567-4553
Phone No 772-567-3104
E-Mail: sherylgriff@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail office@climaticsolar.com
State or County License CVC56671
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
_ Not Applicable I MORTGAGE COMPANY: _ Not Applicable
Address: Address:
City: State: City:
Zip: Phone I Zip: _
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address:
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Address:
Zip;
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as Indicated.
1 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 ang 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
o .,nr4 nr o nrrfino vnnr Nntirp of rnmmPnrPm Rnt.
F,gnl Pure of Ow er/ Less &Intr s Agent for Owner
Sign ture of Contractor/Li 0 Hol
V
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
The forgoing instr ent was acknowledged before me
The forgoing instrument w acknowledgegdd before me
day i�:.�„� 20 M by
this ,day of t 2Q.(3by
this of ,
Erik F. DeLanev
rik F. DeLaney
Name of person making statement.
Name of person making statement.
Personally Known VOR Produced Identification
Personally Known V/ OR Produced Identification _
Type of Identification
Type of Identification
Produced ••••
AMiKN@A 3WARREN
Produced
y. ^.fie. AMANDA S WARREN
'. MY COMMISSION # GG149063
MY COMMISSION # GG149063
EXPIRES October 08, 2021
- 2ate of 51orifig
(Signature of N to "PLblic- State of Florida )
(Signatur,
commission No. GG149063 (sea[)
Commission No. 149063 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1/9/Z019