HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
. Date: Permit Number: � 0IJ/�0
Building Permit Application
Planning and Development Serviceser<
Building and Code Regulation Division log Oe&pt.Y
2300 Virginia Avenue, Fort Pierce FL 34982 veto
SG W�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: SOLAR PHOTOVOLTAIC RESIDENTIAL
PROPOSED IMPROVEMENT LOCATION:
Address: 9624 Enclave CIR, Port Saint Lucie, FL 34986
Property Tax I D N: 3322-800-0010-000-7 Lot No. 7
Site Plan Name: Block No.
Project Name: NAKELSKI SOLAR PV
DETAILED DESCRIPTION OF WORK: —
INSTALL ROOF MOUNTED SOLAR PV SYSTEM - 26.13KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 43,114.50 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Anthony Nakelski
Name: DANIEL YATES
Address: 9624 Enclave CIR
Company: EFFICIENT HOME SERVICES OF FLORIDA, LLC
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.516-286-1927
Address: 9416INTERNATIONALCTN
City: STPETERSBURG State: FL
Zip Code: 33716 Fax:
Phone No 844-778-8810
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERMITnNG@EHSFL.COM
State or County License EC13008759
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGECOMPANY: X Not Applicable
Name: DONNIE C. GODWIN Name:
Address: 8378 FOXTAIL LOOP Address:
City: PENSACOLA State: FL City: State:
Zip: 32526 Phone 850-712-4219 Zip: Phone;•
FEE SIMPLE TITLE HOLDER: A Not Applicable I BONDING COMPANY: A Not Applicable
Address:
City:
Zip: Phone:
Name:
Address:
Zip: Phon
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 IMPROYEMENTS 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 RECORDING YOUR NOTICE OF COMMENCEMENT."
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Sig ature o Owner/ L Be/Contractor as Agent for Owner
Sigr@t e f ractor L ense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PINELLAS
COUNTY OF PINELLAS
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 22 day of NOVEMBER , 20 19 by
this 22 day of NOVEMBER , 20 19 by
DANIEL YATES
DANIEL YATES
Name of person making statement.
Name of person making statement.
Personal) Known OR Produced Identification
Y
Personal) Known OR Produced e Y i 'o
Y
Type of Identificati n
Type of Identificati n
` Notary Public
Produced
Produced A Stephen PIa '
g MY COMMISSl
EXPlree O010
(Sig Lure o ary Public -State of Florida )
(Sign Lure of N t Public -State of f1f
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Commission No. ,ead aI)NotaryPublicSiate
tents nNo. � ,(Seal) '. ;:�mSSAtnG
Stephen Pledhy
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ExPIMS 06/02/2023
REVIEWS
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REVIEW
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REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 2/ q 19
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