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HomeMy WebLinkAboutBuilding Permit Application V _ I f ALL APPLICAPLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ` gs` /7-- Permit Number: RECEIVED. Building Permit Application JAN 2 5 X017 Planning 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 APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION., Address: 8608 Tompson Point Rd Legal Description: TOMPSON POINT PUD AT PGA VILLAGE(PB 43-10)LOT 17 (OR 3522-1491) Property Tax ID#: 3327-704-0018-000-3 Lot No. 17 Site Plan Name: Block No. Project Name: Coco PV Permit Setbacks Front Back: Right Side: Left Side: DETAjLED DESCRIPl IOiV OF WORK " ` Install solar hot water heater- no new electric s [:C:P:EST::R:U:CT'IONINFORMATIQN Additionalwork toe nertormed under this permit—c ec a appy: HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 11 Electric 0 Plumbing []Sprinklers E]Generator E] Roof Roof pitch Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$.10788.00 Utilities:Sewer F—]Septic Building Height: OWNER/LESSEE IVTRAC7OR:.. Name Charles&Catherine Coco Name: Raymond Mead Address:8608 Tompson Point Rd Company: LSCI, INC City: Port St. Lucie State:FIL Address: 4625 East Bay Drive#305 Zip Code: 34986 Fax: City: Clearwater State:FL Phone No.772-882-9602 Zip Code: 33764 Fax: 786-683-9854 E-Mail: Phone No. 727-571-4141 ops 3 Fill in fee simple Title Holder on next page(if different E-Mail: Permits@suntecsolarenergy.com from the Owner listed above) State or County License: If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 1 ' c 'yx ' i:;Am�r `rt 1 +iJ l/lF A 4 M© ��'kiJiiii\ � .R+ p � t , ti �3x' •sr' 2 �'i, T.u: ri..ns',2i5�r�`^"..�'. t: Designer/Architect/Engineer: ❑Not Applicable Mortgage Company: ❑ Not Applicable Name Name Mailing Address Mailing Address City State City State Zip Phone Zip Phone Fee Simple Title Holder's Name: ❑Not Applicable Bonding Company: ❑Not Applicable Name Name Mailing Address Mailing Address City State City State Zip Phone Zip Phone Notice to Owner: There are some properties that may have deed restrictions recorded upon them. These restrictions may limit or prohibit the work applied for in your building permit. It may be to your advantage to check and see if your property is encumbered by any restrictions. Owner/Contractor Affidavit: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. 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 Code 5th Edition (2014)and Martin County Amendments. Plan revisions on all structures exempted by code from architect/engineer design may be done by permit holder. 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 job site before the first inspection. If you intend to, obtain financing, consult with your lender or an attorney before commencing work or recording your Notice of Commencement. I certify that all the foregoing information is accurate and that.all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner nt/Lessee Sign re of Contractor/License Holder o +� STATE OF FLORIDA STATE OF FLORIDA N COUNTY OF MARTIN COUNTY OF A�FtkR�IN 6S c-t.0f t,Lus �mx' t� '• W OThe for_egoing instru nt was acknowled before me The foreQgig instrument was acknowledged before mefi c mckas day of 20[-!by this o{' day of 20a by 2•!' , Raymond Mead _Z H 0 (N a of Person Acknow edging (Name of Person Acknowledging) C E U �J W is -b u o of u c— ate of Florida) (Signature of Notary Pu lic—State of Florida) sago° '4� (Print,Type,or Stamp Commissioned Name of Notary Public) (Print,Type,or Stamp Commissioned Name of Notary Pu ' Personally Known OR Prodad dentifsca on V Personally Known OR Produced Identification Type of Identification Produced Y Type of Identification Produced I A { (FBC 5th Edition 2014) 1 Rev. 11/10/15 l '3