HomeMy WebLinkAboutAPPLICATIONAll 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 Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
1 PERMIT APPLICATION FOR: INSTALLING A SOLA PHOTOVOLTAIC SYSTEM
Address: 5313 SUNSET BLVD FORT PIERCE FL 34982
Property Tax ID #: 3402-608-0485-000-2
Site Plan Name: PV BURTON
Project Name: PV BURTON
INSTALLING A SOLAR PHOTOVOLTAIC SYSTEM
New Electrical Meter _ _ A Second Electrical Meter
Lot No.45
Block No. 52
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
,?1 Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ I
Name RANDY BURTON
Address:5313 SUNSET BLVD
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
City: FORT PIERCE State: _
Zip Code: 34982 Fax:
Phone No.772-519-0336
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name:DANIEL YATES
Company: EFFICIENT HOME SERVICES OF FLORIDA
Address:9416 INTERNATIONAL CT N
City: ST PETERSBURG State: FL
Zip Code. 33716 Fax:
Phone No844-778-8810
E-Mail PERMITTING@EHSFL.COM
State or County License EC13008759
If value of construction is 2500 or more, a KELUKUEU Notice OT C-ommencement IS RNUII CU.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
F.��'2
MR Y-0
MR.
4 DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: X_ Not Applicable
Name: REYES RUIZ DONATE Name:
Add ress:9416 INTERNATIONAL CT N Address:
City: STPETERSBURG State: FL City: State:
Zip: 33716 Phone844-776-8810 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: X_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
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, 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 lender or an attorney before commencing work or recording our Notice of Commencement.
Signat a of Ow r/ Lessee/Contractor as Agent for Owner
Signature of Contrac or/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OFPINELLAS
Sworn to (or affirmed) and subscribed before me of
-.4' Physical Prese ce or Online Notarization
this day of _ � _ 2024 by
Sworn to (or affirmed) and subscribed before me of
Physical Presence or nline Notarization
this ML day of Yt 2020 by
RANDY BURTON
DANIEL YATES
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identif' i n
uced
Personally Known �C' OR Produced Identification
Type of Identification
Produced
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