HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/15/2020 _ Permit Number:
CUE
V
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2300 Vrginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR: Photovoltaic Solar
PROPOSED IMPROVEMENT LOCATION:
Address; 8006 Santa Clara BLVD Fort Pierce, FL 34951
PropertyTax ID #: 1301-607-0164-000-7 Lot No.1
Site Plan Name: LAKEWOOD PARK Block No. 76
Project Name: Khodia Pierre
DETAILED DESCRIPTION OF WORK:
Installation of photo voltaic solar panels on roof.
New Electrical Meter _ , Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed urider this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor. _
Cost cfConstruction: $ 32,130.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Khodia Pierre Name; Cameron Christensen
Address; 8006 Santa Clara BLVD Company: Momentum Solar
city; Fort Pierce State: FL Address: 6210 Hoffier Ave Suite 100 Orlando, FL 32822
Zip code: 34951 Fax: city; Orlando State: FL
Phone No. 321 247 6073 Zip Code; 32822 Fax:
E-Mail; flpermits@momentumsolar.com Phone No 321 247 6073
Fill in fee simple Title Holder on next page( if different E-Mailflpermits@momentumsolar.com
from the Owner listed above) State or County License CVC57036
If voh m of wnncrw.w44- '.. '?eM .._ --- -
If value of HAVC is $7,5W or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Mina A. Makar
Address: 61WINDLING WOOD DR APT 8B
City: Sayreville State: NJ
Zip: 68872 Phone 551 589 6068
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:_
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address: _
City:
Zip: Phone:
BONDING COMPANY:
Name:
Add ress:
City:
Zip: ` Phone:
X
Not Applicable
State:
X Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat 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 jobs ite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Own
STATE OF FLORIDA
COUNTY OF St Lucie
AgentforOwner I Signature
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15th day of October 2020 by
Khodia Pierre
Name of person making statement.
Personally Known OR Produced Identification X
Type of Identification
Produced DL f
f 9 IAN IOADGE
(Signature of Notary Public- Sta of Notary Public
HH043680 � State of Florida
Commission No. Comm# HH043i
• �vcf ►sl Expires 9/17/2(
REVIEWS j FRONT ZONING
COUNTER + REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA
COUNTY OF StLucie
se Holder
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15th day of October 2020 by
Cameron Christensen
Name of person making statement.
Personally Known X OR Produced Identification _
Type of Identification
Produced
Vt19ExP1res9/17/,
PADG
(Signature of Notary Public- St oPub Ic
HH043680f Florid
Commission No # HH04
SUPERVISOR PLANS I VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW + REVIEW REVIEW REVIEW