HomeMy WebLinkAboutDos Santos-PermitApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
OIL
MTy
L `' �, L L' tti Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATION FOR: Roof -mounted photovoltaic solar electric system
PROPOSED IMPROVEMENT LOCATION:
Address: 710 SE Hidden River Dr Port St Lucie FL 34983
Property Tax ID #: 3427-701-0038-000-7
Site Plan Name: 710 SE Hidden River Dr Solar PV Plans
Project Name: Dos Santos Solar
DETAILED DESCRIPTION OF WORK:
Install new roof -mounted photovoltaic solar electric system
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
X Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 429
Cost of Construction: $ 40500
Generator
Sq. Ft. of First Floor:
Lot No. 3
Block No. 3
Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Dos Santos, Marcia, & Sandros
Name: Daniel Yates
Address: 710 SE Hidden River Dr
Company: Gulf Electrical Service LLC
City: Port St Lucie State: _
Zip Code: 34983 Fax:
Phone No. 508-450-6478
Address: 3121 Indian Ridge PI
City: Lakeland State: FL
Zip Code: 33810 Fax:
Phone No 813-695-9203
E-Mail: mdsoccer8@ aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail perrnits@ primetimepermits, corn
State or County License E013001255
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: D.Chad Godwin, PE52767
Address: 8378 Foxtail Loop
City: Pensacola
Zi p: 32526
Phone 850-712-4219
State: FL
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
X Not Applicable
ate:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: 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, 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencine work or recordine vour Notice of Commencement.
Signature o wner/ Lessee/Contractor a nt for Owner
Signatu e of ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Si Luciecounty
COUNTY OF Hillsborough
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
this 14 day of september 2020 by
this 28 day of September 2020 by
Marcia Dos Santos
Daniel Yates
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification X
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced FLDL
�--"%Awraotr��
Produced
(Signature of Notary Public- Sta
r y Public- State of Flori
#0 Notary PutAic State of F
Commission NO. GG324624 eagatricia A Nasregah
St
orida ti o;Y ?<�, Notary Public Tyner
COm IO O. GG239750 Michael Tyner
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624 Ex 07Y1 12,
'` Expires 07I1312i
Expires 06/172023
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20
Florida
239750