HomeMy WebLinkAboutMICHAEL JOHNSON PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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(41
n - Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial _ Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:ROOF TOP SOLAR
PROPOSED IMPROVEMENT LOCATION:
Address: 8600 Brookline Ave Fort Pierce FI
Property Tax ID #:1301-608-0246-000-9
Site Plan Name: Michael Johnson
Project Name: Johnson Roof Top Solar
DETAILED DESCRIPTION OF WORK:
ROOF TOP SOLAR
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 37,3
_ Generator
Sq. Ft. of First Floor:
Lot No.
Block No.
_ Pond
Roof �_ Pitch
13.53 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
NameMICHAELJOHNSON
Address:8600 BROOKLINE AVE
City: FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.706-442-6409
E-Mai I: mnmiohnson03l5@gmail.com
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
CONTRACTOR:
Name:KENNETH WILLIAMS
Company:TITAN SOLAR POWER FL
Address:112221 N US HIGHWAY 301
City: TAMPA _ State: FL
Zip Code: 33592 Fax:
Phone No813-982-9001
E-MailFLPERMITTING@titansolarp wer.com _
State or County License EC1300992
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _
Name:
Address:
City:
Zip: Phone:
lot Applicable
Address:
City: State: _
Zip: _ Phone,_ .._
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: —Not
Name:
Applicable
Address:
Address:
City:
City:
Zip: _ Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby made to obtain a permit to do the work and In tallation 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 th 'isubject structure
which is In con l(ct with an Y applicable Home Owners Association rules, bylaws or and covenants that may rest ct or prohibit such
structure, Please consult with your Home Owners Association and review your deed for any restrictions which ay 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR pNATTORNEY BEFORE RECORDING YOUR WTICEQF COfffMLNtEMENT."
as Agent for Owner I signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF FL COUNTYOF_.
The forgoing Instrument was acknowledged before me The forgoing instrument was <cknowlecigerl before me
this day of ,.��,20 2uay thiday of e?-Dd,0by
/I'14�c ilc{��iile 1�,� vs0yl �� f1r1Ty� WI'IIl�
Name of person making statcfit enl. / Name of person making statement.
Personally Known __,..OR Produced Identification _
Type of Idenlifica 'qn
Produced 1/ V
(Signature of Notary Public- State of Florida)
Commission No.
REVIEWS
Personally Known OR Produced
Type of Identification
Produced__
(Signature of Notary Public• State
commission No.�
VREV EWON I S REVIEW TURTLI I MANGROVE
EVIEW