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All AOPLIC INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ✓ 'ICJ Permit Number: a d10� 1
xv
a
o O C T 0 6 2020
0 -- �.° Building Permit A licati
g pp 13T. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division Commercial. Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: S
PROPOSED^IMPROVEMENT„LOCATION:
Address: 703 Ulrich RD Fort Pierce, FL 34982,
Property Tax ID #: 3410-603-0078-000-6 -
Site Plan Name: Svetnikov
Project Name: Svetnikov-Solar
=.DETA-(LED D`ESCRI`PTION, OF WORK
Install 11.52KW PV Solar system on roof
New Electrical Meter Second Electrical Meter
CONSTRUCTION fNFORMATION
Lot No.10,11,12&13
Block No. C E
Additional work to be performed under this permit —check all that apply:
—Mechanical, _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
X Electric _Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total, Sq. Ft of Construction: 654.48 Sq. Ft. of First Floor:
Cost of Construction: $ $40,320 Utilities: —Sewer _Septic
Building Height:
DOWNER/LESSEE:
mt
CONTRACTOR:
Name Igor Svetnikov
Name: Brian Miller
Address:' 703 Ulrich RD Fort Pierce, FL 34982
Company: Professional. Electrical Service, Inc
Fort Pierce FL
City: State: _
290 S 'rin view Commerce DR Suite 3
Address: P g
City: Debary State: FL
Zip Code. 34982 Fax:
Phone No. 917-250-2535
Zip Code: 32713 Fax: 386-668-822.2
E-Mail: ivetnikov@gmail.com
Phone No 386-668-4222
E-Mail office@proesolar.com
Fill in fee simple Title Holder on next page (if different
State or County License EC13001686 6 ) q 6
from the Owner listed above)
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. C CQ 9 i++� ��' g f o U?�
c av►�
S1IPPLEMENTAL
CONSTRUCt ;ION L13EN LAW INFORIVIATI
ON:
£._
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: Stater
Zip: -Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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 concurren'cy review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessoryuses 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 attorney before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature o ontractor/License Holder
STATE OF FLORIDA
STATE OF FLORLDA
COUNTY OF V 643l t
COUNTY OF **SIC
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
✓ Physical Presence or Online Notarization
this day of 2020 by
this day of 5y q44A'% kt& , 2020 by
NanYe of person making statement.
Name of person making statement.
Personally Known ✓ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public-,SM(Signature
nY?yg;,; MEL A ANN HUBBARD
of Notary Public- St
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Commission No. i , '� i')
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Commission No. sion#GG225401
pires July 20, 2022
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.REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
iev.5/6/20
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