HomeMy WebLinkAboutSubmitted AppAll 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 x
Address: 6723 Dickinson Terrace
Property Tax ID #: 3415-706-0023-000-7
Site Plan Name:
Project Name: PROJ-26291-Judy Willarc
Instalation of Photovoltaic Solar System to existing roof
Lot No. 152
Block No. 1
Additional work to be
performed under
this permit —check all
that apply:
_Mechanical
_ Gas Tanl<
_Gas Piping
_Shutters _Windows/Doors
X—Electric
_Plumbing
_Sprinklers
_Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 59,285.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OUl/NER�LESSEE: �
CQNTRACTOR:
Name Judy Willard
Name: Ronnie Padgett
Address: 6723 Dickinson Terrace
Company: Marc Jones Construction DBA Sunpro Solar
City: Port St. Lucie State: FL
Zip Code: 34952 Fax:
Phone No. (716) 471-9217
Address: 4492 Eagle Falls PI
City: Tampa State: FL
Zip Code: 33619 Fax:
Phone No (786)414-3441
E-Mail:ludwillard48@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permitmia@theprocompanies.com
State or County License EC13001242
IT 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.
DESIGNER/ENGINEER; _Not
Name: caacm Engineering
Address: zszs w state Rd aaa
City: Longwood State: FL
Zlp: azns Phone iamlzas-zsrs
MORTGAGE COMPANY: _Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable � BONDING COMPANY: _Not Applicable
Name:
Name:_
Address:
Address:
City:
City:_
Zip: Phone:
Zip:
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.
Inconsideration 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 YnuR �_En1DFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF siw=�=�o��ry
COUNTY OF s«���e�o��w
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this z day of oeC 20_ by
this? day of oee 20_ by
Ronnie Padgen
Ronnie Patlgelt
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification •
Personally Known OR Produced Identification x
Type of Identification
Type of Ide ication
Produced FL
duced oL
-
���� ��� S R GE
_
Signature of Notary ubl' IA I.AW ®—��'AN
�
� I to
E ig r � f N _� ` m1P -� lori
- - "p mess On N G 19367
,Y
Na r ppub Stara of Florl
No. �� 91936
e ; �;" q Cpm� �i sip E pires
No �. ypatabgl9iD) 23
Commission _ CYrii)ss�n k ®(3
mmission
'."+ ec My Commission Expiry
'� iii��" Ootaber 08, 2013
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