HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �(C�� _ �✓ ✓`�
Date: 9/14/2020 Permit Number: w4�
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 X
PERMIT TYPE: Electrical Alteration
PROPOSED fIVIPROUEMENT LOCATION
Address: 5742 Sunberry Circle Fort Pierce, FI 34951
Property Tax lD #: 1312-502-0222-000-4
Site Plan Name:
Project Name: Grant, Solar
DETAILED DESCRIPTION OF4WORK.
Installation of roof -mounted photo -voltaic system and Tesla Powerwalls
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft: of First Floor:
Cost of Construction: $ 24,110.40 ' Utilities: Sewer _ Septic
Lot No: 510
Block No.
_ Windows/Doors
Roof Pitch
Building Height:
;'OWNER/LESSEE w
CONTRACTOR
Name Sabrina Grant
Name: Nichole Armstrong
Address: 5742 Sunberry .Circle
Company: Tesla Energy Operations, Inc
City: Fort Pierce State: -;::'I
Address: 8500 Parkline Blvd
Zip Code: 34951 Fax:
City: Orlando Stater
Phone No. 772332-4980
Zip Code: 32809 Fax,
E-Mail: sabrina.g83.gs@gmail.com
Phone No 510-518-5891
Fill in fee simple Title Holder on next page ( if different
E-Mail OrlandoPIC(gtesla.com
from the Owner listed above)
State or County License EC13006226
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.
DESIGNER/ENGINEER: _ Not -Applicable
Name:
Address:
City: State:
zip:.Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: . Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
city:'
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work andinstallation as indicated..
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 approvedplans, 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 RECORDING YOUR NOTICE.OF'COMMENCEMENT ".
Signatfre &f.0 er/.Lessee/Con ra Agent for. Owner.
Signat o Co o
STATE •OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF '06 W,
.The, forgoing instru ent was acknowledged before me
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The forgoing instrument was acknowledged before me
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Name of person making'statement.
Name of person making statement.
Personally Known.-X OR Produced Identification
Personally Known_ OR Produced Identification
Type of. Identification •
Type of Identification
Produced.
Produced
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=oo�`Y `oil Notary Public State of Florida.
a�OyY 'oe� Notary Public State of Florida
? Ashley N Taylor
Ashley N Taylor
9 My commission GG 149324
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Commission No. CIC71 (Seal)
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