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HomeMy WebLinkAboutPermitAppAll 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 Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: Address: 5116 Watersong Way, Fort Pierce, FL 34949 Residential X Property Tax ID #: 2532-803-0012-000-2 Lot No. 5 Site Plan Name: Block No. Project Name: Kothakota Solar DETAILED DESCRIPTION OF WORK: Installation of Tesla Powerwall(s) 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 X Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: . Cost of Construction: $ 7200 Generator Sq. Ft. of First Floor: _ Windows/Doors Pond Roof Pitch Utilities: —Sewer —Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Name: Nicholas Armstrong Address: Company: Tesla Energy Operations, Inc. City: State: Zip Code: Fax: Phone No. Address: 8500 Parkline Blvd. Suite 100 City: Orlando State: FL Zip Code: 32809 Fax: Phone No 510-518-5891 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail orlandopic@tesla.com State or County License EC13006226 It 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. SUPPLE[1liElUTAL �C)NSTR°UCTI{iN LCE'N LAW INFQRMATI©N°; - ` DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name; _ Name: Address: Address: City: Stater City: State: Zip: Phone 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 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 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 Fender or an attprney before commencing work or recording our Not' e of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Hol e STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Sworn to (or affirmed) and subscribed before me of ,P-slcal Presence or Online Notarization this ay of 2024 by Swo n to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this 241h day of _c)Gr t'1UG>:rj/ 2021 by Nidiolous) l-(`i,61o(0S ArvYi3t�� Name of person making statemen . Name of person making statement. Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Produced NA Type of Identification Produced N A OkiNotary Public State of Florida e Ashley N Taylor °4e Notary Pubic State of Florida > , Ashley N Taylor (Signattfre of Notary 0 )rR e i Q 2021 t Commission No. N (Seal) (Signature of Notary Public- eta _. orillxpkes 1010812021 Commission No. (S6 I �g3ZN (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5/6/20