HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
J , Ti
,r-
`? L `� r,` L L' Ai — Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 452-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 1301 W 1 st St Fort Pierce, FL 34982
Property Tax ID #. 3404-501-0444-000-1
Site Plan Name:
Project Name: Sheets- SOLAR
DETAILED DESCRIPTION OF WORK:
roof mounted PV solar and electrical interconnection
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank Gas Piping Shutters Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 47006.00 Utilities: Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Sheets
Name. Richard Longo Jr.
Address:1301 W 1 st St
Company: Florida Power Management
City: Fort P1erce State: _
Zip Code: 34982 Pax:
Phone No. 772-240-1443
Address: 1 331 Green Forest Ct. #3
City: Winter Garden State: FL
Zip Code: 34787 Fax:
phone No407-554-2047
E-Mail: robbiesheetsl3@gmail.com
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E-Mail jenna ftmsolar.com
State or County License Ec13008645
IT value oT construct+on is LSUU 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:
Address:
City: State.,
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:_
_ Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name:
Address:
City.
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, wails, 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 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 commencing; work or recording your Notice of Commencement.
Signature of Owner/ Les tractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF D Ya
Sworn to (or affirmed) and subscribed before me of
P vsical Presence or Online Notarization
This Lq_ day of JAAEt&f3 2020 by
p _trri,Y did
Name of person making statement.
Personally Known OR Produced Identification
Type oLEE]
Produc
(Signat
Commission No. (Seal)
REVEEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
COM
r
Signature of Contractor/Li s der
STATE OF FLORIDA
COUNTY OF (pro-oie-
Sw rn to (or affirmed) and subscribed before me of
hysical Presence or Online Notarization
this f+ l clay of 2020 by
Name of person making tatement.
Personally Known �'k—_ OR Produced Identification
Type of Identification
Produced
TINAM STEWARt
Notary Public • State of
(Signature of Wtary Public- State 4N BIR!q I
MD it
y Comm. UExpipires Det 1
I�/
Bonded through National Nota
Commission No. 9#7,2351
S REVIEWOR REV EW I VREVEWON 15EATURTREV EWLE I M EV EWVE