HomeMy WebLinkAboutBuilding Permit ApplicationCONSTRUCTION. INFORMATION:
Additional work -to bortormed , under this permit MeCk all apply*
.6as T Gas Piping Shutters Windows/Doors
HVAC ahk -El' 111,
6
Plumbing Sprinklers: Generator 1211ocii Rooflitch
Plumb'
,516,ctric pri klert Gene tor
Total Sq. Ft of Cdnsttuctio'n: S Ft of First PlQorc
Building Height:
El's - - t-. LUtilities:Sewer Cost 'of Con'strudiori: $ ep, ic
9.
V:
.0
wNER/LIEZEE.'
CONTRACTOR;`..'
Name Jose Gil
Name: Angel Gonzalez Mendoza
Address. 7727 Bobcat RUN. Pbft Saint Lucie,, FL 34952
a Go Solar Power LLQ
C.6m'p Company:.
City:: Lucie i Y:� St State'. FL
77-
Address: 901 SE 6ih Ave
Zip Code: 34952 Fax.
City: Delray Beach
ty Statei
Phone No-.. 484.9991622::
Zip -ode:,33483. . Fax:
E: Mail: chin.ogil.123@iciciud.com
Phone No. -561-228-4483
Fill In fee simple Title Holder on .next gage (if different
ent
E7'Ma il, Jack6dn@gosolEirpowde.coni
froM the Owner listed above)
5tate-or County Lficense: CVC56962
If value Of construction It $2500 or more, ARECORDED Notice of Commencement Is required.
:SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: .Not Applicable
— .
Name: JbieGil
Name:'Raf4o'MdelGonzalezMind—
Add ress'l 7727 Bobcat RUN Port Salnt L'ude, FL 3.4952 '. .. ..
Add rest: 7727. Bobcat RUN, Port SaintLude; FL 34952
City: StLuda 'State:
City: PeirayBeach .... State:..
Zip:..' :.. Phone .
Zip: Phone:: .
FEE SIMPLE TITLEHOLDER: _ Not'Applicable
BONDING COMPANY; Not Applicable
— .
Name:
Address: e01 SE,6fhAve,'. '.
Address:
City:
City:
Zip: Phone: - -
Zip:. Phone:=
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,'swirhmi frig pools, fences, walls, signs, screen rooms.and.acce;soryuses to another. non-resideritial .use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result.in your paying twice for.
impl'overhents to.your,propeity..A Notice.of Commencement rriust.be recorded and posted on the jobsite
before the firstinspection.-If you intend to obtain financing; consult with lender or an attorney -before
rnmmpnrino wnek nr rprnrdina wnur Kintirp nUrrim" Mpnrpmpnt
Si ature ne ssee/�ontractor as Agent for Owner
cense:Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF stu,de: ....
COUNTY OF stu,ae •. '
The f 'ping instr ment was: acknowledged'bgfore me
"�
The f 'ping instr' merit was acknowledg efore me
this day of T :.' 20 by
this day of
20by
LVZ
me of p so eking statement .
N of person
ing statement
Person Ily Know OR Produced Identification
Per.'sonall Kno•, OR Produced Identification
Type. f ldentifit ti
Type.of dentific ton. .
Prod ced
Produc d
(Signs Notary Public- St
nit e'o otary Pubf = St � . f F OIRU);CHNEIDERMALTON
n f LYCE SCHNEIDER-WALT
Commission No. lt7 �. r dory Public -State of Ron
(`
mission No: V ` ' '
°` n ; Notary Public- State of Florida
y Cow n # GG 161845
--Commission # GG 161845
PeP My CdAitrt Upires Nov 20, 2021
�@ My Comm. Expires Nov 20, 2
211 c" Belled throgh Natonai Notary Assn.
OendNQ ihrough Nalonal No;ary
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Rev. 8/2/17