HomeMy WebLinkAboutSOLAR APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
' Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential -4—,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: !!�-bko�c (?v S\-A�E>tC'm
PROPOSED IMPROVEMENT LOCATION:
Address: 5203 MANTANZAS AVE FORT PIERCE FL 34946
Property Tax ID #: 1431-701-00514)00-1
Site Plan Name: PV BERNICE
Project Name: PV BERNICE
DETAILED DESCRIPTION OF WORK:
INSTALL A ROOF MOUNTED SOLAR PHOTOVOLTAIC SYSTEM
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
I 1
Electric Plumbing _Sprinklers _Generator
Lot No.11
Block No. E
Windows/Doors _ Pond
,�(- Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 21913 utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name BERNICE CLARK
Name-DANIEL YATES
Address:5203 MATANZAS AVE
Company: EFFICIENT HOME SERVICES OF FLORIDA
City: FORT PIERCE State: ^
Zip Code:4`� Fax:
Phone No.(772) 321-2713
Address;9416 INTERNAnONAL CT N
City: ST PETERSBURG State:FL
Zip Code:33716 Fax:
Phone No344-77$-3310
E-Mail:
Fill in fee simple Title Holder on next page if different
from the owner listed above)
E-Mail PERMiTTINGC@EHSFL_COM
State or County License EC13008759
If Value of construction is 75W or more, a KtC.VKutu siouce or t ommemaine;ii. N rcyuu cu.
if value of HAVC is $7,500 or more, a RECORDED mice of Commencement is required.
SUPPLEMENTAL CONSTR CTION UEN LAW 1NE RMATIOW
DESIGNER/ENGINEER: Not Applicable
Name: REYES RUIZ DONATE
MORTGAGE COMPANY: T Not Applicable
Name:
Address: 9416 INTERNATIONAL CT N
City: STPETERSaURG State: FL
Zip: 3a116 Phone-77 -8810
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work ana insl:atiaiion as tnaicat.eu.
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
..:i1_ t_.._A..e....,......++..r....., i,,,f— tArnr4 nr mrnrAincr untir Nntire of Commencement.
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Signatu Owner/ Lessee/Contractor as Agent for Owner
Signature of Coutr ct /License Holder
STATE OF FLORID
STATE OF FLOM)CU,
COUNTY OF�, } - U A� Q
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of JANUARY 2026 by
this day of JANUARY 12024 by
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1 1,
Name of person making s ement.
Name of person making statement.
Personally Known OR Produced Identification_
Personally Known -N-"-OR Produced identification
Type of Identifieatio
Type of) dentification
Produced
Produced
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Commission No. GG249046 - � :.k � e
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4� Expires 08/15/2022
" Expires 08115/2022
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