HomeMy WebLinkAboutPERMIT APPLICATION DENZIL VELADERAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
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
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8704 CITRUS PARK BLVD FORT PIERCE FL 34851
Property Tax ID #: 1301-810-0085-000-9 Lot No. 15
Site Plan Name: VELARDE ROOF TOP SOLAR i Block NO. 5
Project Name: Denzil T Velarde project
DETAILED DESCRIPTION OF WORK:
ROOF TOP SOLAR
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical —Gas Tank _Gas Piping _Shutters _Wind
ws/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ (772)801-9688 Utilities: _Sewer —Septic Building
ight:
OWNER/LESSEE:
CONTRACTOR:
NamL DenziI Velarde
Name: KENNETHWILLIAMS
Address: 8704 CITRUS PARK BOULEVARD
Company: TITAN SOLAR POWER FL
City: FORT PIERCE State: FL
Address: 12221 NUS HIGHWAY 301
Zip Code: 34951 Fax:
City: TAMPA
State: FL
Phone NO. (772) 801-9668
Zip Code: 33592 Fax:
E-Mail:- dvelarde@dyerauto.com
Phone No 305-389-6017
Fill in fee simple Title Holder on next page ( if different
E-Mail djeune@titansolarpower.com
from the Owner listed above)
State or County License ec13008093
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
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone
City: _State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 thepermit holder to build the subject structune
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, 1 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 ESE 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 RECORDING YOUR NOTICE OF- ENCEMEfsrr-"
ev. 211119
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
j(�
STATE OF F81DA1D ffA--
La jl
STATE OF FLORIDA
COUNTY OF -
�Itm
COUNTY OF I --- Q
The foirgoing instrairrient was aicknowledged before me
The forgoing instrument was acknowledged before me
th1s,19L41 day of Ivu 2027 by
this _ day of 20_ by
Name o ma mg statement
Name of person making atement,
Personally Known __ OR Produced Identification _
Personally Known OR Produced Identification
Type of Identi!icptioq
Produced
Type of Identification
Produced
^^D
�>M�ryY
r
( igna: re of Not Public- State of Florida )
(Signature of Notary Public State oiiixridl ) 2D
Commission No.
n,„,�ay Pw: Stns a
Commission No. A MY^.00pa county
UAPHNEY CIVIL -JEUNE
- P,2iinl NiCule CaYtdSOn
N t. Of Plod,ss,
cr-,-.v:,•u.a+rau
Commission
HH 49375
REVIEWS
FR N •ati•^`
4n Expir
sSl91PEPWIS R
PLANS
VEGETATION
SEA TUR LE
N A S
CO ao
Natio
ai NfTE'YIL'W
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 211119