HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
P!anning 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: Solar
PROPOSED INPROVEMENT LOCATION:
Address: 5523 Place Lake Drive Fort Pierce, FL 34951
Property Tax ID #: 1312-503-0060-000-3 Lot No. 2'3`- _
Project Name: Markley
DETAILED DESCRIPTION OF WORK:
Installation of a solar pool heating system
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 5500.00 Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in th
floodplain:
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity: ^__
Other: Flood Zone:_ BFE:If _ Floodway? Y/N Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction. -
OWNERAESSEE:
CONTRACTOR:
Name Karen Markley
Name: Erik F. DeLaney
Address: 5523 Place Lake Drive
Company: Climatic Solar Corporation ___-_
City: Fort Pierce FL State: _
Zip Code: 34951 Fax:
Phone No. 740-649-5590
Address: 650 2nd Lane
City: Vero Beach State: FL_
Zip Code: 32962 Fax: 772-567-4553 —_
E-Mail: karenmarkly56@gmail.com
Phone No 772-567-3104
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail office@climaticsolar.com
State or County License CVC56671
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
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
is in with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
which conflict
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
cornmencing work orreingvour Notic Commencement.
.3
Sign tore of Owner/ Lessee/Co or as or Owner
Sig ure of tractor/License,,d
STATE OF FLORIDA
COUNTYOF Indian River
STATE OF FLORIDA
COUNTY OF Indian River
The forgoing instru-merit was acknowledged before me
day 20�&by
The forgoing instrument was acknowledged before me
this -t4_ day off s-A--cta J , 20?4 by
this ,;�k of
Erik F DeLanev
Erik F. nPl a_ney
Name of person making statement.
Name of person making statement.
Personally Kn r
Type of Identi i� A Ao �1}�i'�
d-ldentifieat ien
Type of IdentifAMANDA S WARREN
Personally Kno&t:iAL—
Produced = '= MY COMMISSION # GG149063
Produced ION # GG149063
EXPIRES October 08, 2021
;'' osi: R' EXPIR October 08, 2021
ignature of Notary Public ate of Florida)
Signature of Notary Public- to of Florida )
Commission No. GG149063 (Seal)
Commission No. GG149063 (Seal)
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