HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: NOVIENU RI'1 azi Permit Number.'!
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
SOLAR
Address: 3328 S JENKINS RD. FORT PIERCE FL 34981
Property Tax ID #: 2430-233-0001-400-4 Lot No,
Site Plan Name: MURRAY Block No.
Project Name: PV MURRAY
INSTALLING A ROOF MOUNTED SOLAR PHOTOVOLTAIC 5;Y1RTr:M i
New Electrical Meter X Second Electrical Meter
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters — Wini
-<Electric _ Plumbing _ Sprinklers , Generator
Total S Ft of Construction:
q• Sq. Ft. of First Floor:
Cost of Construction: $ 67335
Utilities: _ Sewer _ Septic
Name MARSHALL MURRAY
Name:DANIEL YATES
Company: EFFICIENT HO
Address:9416 INTERNATI
Address:1252 NORTHGATE DR
City: INDEPENDENCE State:
_
Zip Code: 97351 Fax:
City: ST PETERSBURG
Phone No. (971) 301-3856
Zip Code: 33716
E-Mail:
Phone No844-778-8810
Fill in fee simple Title Holder on next page (if different
E-Mail PERMITTING@EH;
from the Owner listed above)
State or County License EC
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.
DESIGNER/ENGINEER: — Not A licable
pp
MORTGAGE COMPANYI: Not Applicable
Name: REYES RUIZ DONATE
Name:
Address:94161NTERNATIONALCTN
Address:
City: STPETERSBURG State: FL
City: State:
Zip:�ls Phone�7�lo
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 concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to aipother 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 commencin work or recording our Notice of Commencement.
i
Signature *oon "ra or/License Holder
Signature of Owner/ Lessee/Contrac r as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLUCIE
COUNTY OFPINELLAS
{
Sworn to (or affirmed) and subscribed before me of
x
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this I day of NOVEMBER
X Physical Presence or Online Notarization
12020 by
this ! day of NOVEMEBER 2020 by
!
MARSHALL MURRAY
DANIEL YATES
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification x
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
tdcedDL —
Pr ed
atof Notary Pu btlic- St
ture of Notary Public- S
Notary Public State of F
Commission No. GG249046 Sd�lnielle N Rutledge
4 y commission GG 24
Notary Public State of Florid
Co ission No. GG249046 ;� Oyl le N Rutledge
+ k/fy �offnnmission GG
OA
Expires 08/15/2022
24
�p"� Expires 08/15/2022
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
VEGETATION
SEA TURTLE
MANGROVE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20