HomeMy WebLinkAboutHackett Application01142021All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:���'utgjg 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
PERMIT TYPE: Solar
PROPOSED INPROVEMENT LOCATION:
Address: 2709 Bent Pine Drive Fort Pierce, FL 34951
Property Tax ID #: 1334-502-0011-000-0 Lot No. 94
Project Name: Hackett
DETAILED DESCRIPTION OF WORK:
Solar Pool Heating System
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively for construction:
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: Flood Zone:_ BFE:_ Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNER/LESSEE: CONTRACTOR:
Name Keith Hackett Name: Erik F. DeLaney
Address: 2709 Bent Pine Dr Company: Climatic Solar Corporation
City: Fort Pierce State: 'FL- Address: 650 2nd Lane
Zip Code: 34951 Fax: City: Vero Beach State: FL
Phone No.719-440-5316 Zip Code: 32962 Fax: 772-567-4553
E-Mail:jusdon12@comcast.net Phone No772-567-3104
Fill in fee simple Title Holder on next page ( if different E-Mail office@climaticsolar.com
from the Owner listed above) State or County License CVC56671
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'(WORMFATiON `:.::-
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
i City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
— Not Applicable BONDING COMPANY: Not Applicable
Name:
I Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
L
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
cornmencing work or gM?rdin&your Notice of Commencement.
Signature of Owrier/ lessee/ t n as ent for Owner Sig6ature of Con ractor/Lice Ide
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Indian River COUNTY OF Indian River
The forgoing instrument was acknowledged before me
this fy day of 20_21 by li
1
Erik F. DeLanev
Name of person making statement.
Personally Known V OR Produced Identificat on
Type of Identification
Produced
ignature of Notary Public- State of Florida )
Commission No. GG149063 (Seal)
The forgoing instr ent was acknowledged before me
this 1�( day of kyd&
&Lq 20AI by
Erik F. Delaney
Name of person making statement.
Personally Known V_ OR Produced Identification
Type of Identification
Produced
gnature' of NotaryP lic- state of Florida )
Commission No. GG149063 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED T .
DATE
COMPLETED
,a MY COMMISSION # GG149063
',a•,;dF; EXPIRES October 08, 2021
AMANDA S WARREN
MY COMMISSION # GG149063
EXPIRES October 08, 2021
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