HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
S't: LL I GLL=
C5U� :
e Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential V
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Residential Photo Voltaic
PROPOSED IMPROVEMENT LOCATION:
Address: 5207 Indian bend Lane, Fort Pirece, FL 34951
Property Tax ID It: 1312-800-0026-000-5 Lot No. 195
Site Plan Name: Michael Knowlton Block No.
Project Name: Michael Knowlton
DETAILED DESCRIPTION OF WORK:
Install 8.9 kW Photo Voltaic System To Single Family Residence
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 —Windows/Doors _Pond
y Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 36,108.95
Sq. Ft. of First Floor:
Utilities: _Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Michael/Yolanda Knowlton
Name: Gary Germanton
Add re55:5207 indian Bend Lane
Company:AC/DC Solar LLC
City: Fort pierce State: FL-
Zip Code: 34951 Fax:
Phone No. 17723320950
Address: 5001 S Florida Ave
City: Lakeland State: FL
Zip Code: 33813 Fax:
Phone N0855-577-7999
E-Mail: mikeknow@att.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Permits@acdcsolarllc.com
State or County License EC13010020
If 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not
Applicable
MORTGAGE COMPANY:
_Not Applicable
Name: Go W,' En„neenw a, caa�cn. _Lc
Name:
Address: e37e—.1l p
Address:
City: Famew
State: FL
City:
State:
Zip: 3353fi Phone(941)413NO3
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not
Applicable
BONDING COMPANY:
_Not Applicable
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.
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 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 beforg the first inspection. If you intend to obtain financing, rpnsult
uAth IonrLor nr nn m zftnrnpv hpfnrp rnanpn ng wnrk nr recording your Notice of Commencement.
Signature f 0/y ne ssee/Contrac r as Ag. t for Owner
66�'
Signature f Cont acto
nse Holder
STATE OF FLORIDA
STATE OF FL/ORIDA /J
OC_
COUNTY OF
COUNTYOF
Sworn to (or affirmed) and subscribed before me of
Sw rn to (or affirmed) and
subscribed before me of
_KjPhysical Presen ea Online Notarization
Physical Presence or
Online Notarization
by
this day of 202%by
t is 7/ day of SAN
,2026
�n s/1K4Nco.�
Name of person mad statement.
Name of per, n making statement.
Personally Known OR Produced Identification _
Personally Known X
OR Produced Identification
Type of Identification
Type of Identification
Pro
u w tea imiea
751gnature o otary Goose Y
(Signature of N211lary
f FWoMCammiaionGG443
Commission No. g°F'°"(5@tloz+
Commission No. 2
lzax3
=en
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. b/b/LU
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not
Applicable
MORTGAGE COMPANY:
_Not Applicable
Name: Go W,' En„neenw a, caa�cn. _Lc
Name:
Address: e37e—.1l p
Address:
City: Famew
State: FL
City:
State:
Zip: 3353fi Phone(941)413NO3
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not
Applicable
BONDING COMPANY:
_Not Applicable
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.
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 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 beforg the first inspection. If you intend to obtain financing, rpnsult
uAth IonrLor nr nn m zftnrnpv hpfnrp rnanpn ng wnrk nr recording your Notice of Commencement.
Signature f 0/y ne ssee/Contrac r as Ag. t for Owner
66�'
Signature f Cont acto
nse Holder
STATE OF FLORIDA
STATE OF FL/ORIDA /J
OC_
COUNTY OF
COUNTYOF
Sworn to (or affirmed) and subscribed before me of
Sw rn to (or affirmed) and
subscribed before me of
_KjPhysical Presen ea Online Notarization
Physical Presence or
Online Notarization
by
this day of 202%by
t is 7/ day of SAN
,2026
�n s/1K4Nco.�
Name of person mad statement.
Name of per, n making statement.
Personally Known OR Produced Identification _
Personally Known X
OR Produced Identification
Type of Identification
Type of Identification
Pro
u w tea imiea
751gnature o otary Goose Y
(Signature of N211lary
f FWoMCammiaionGG443
Commission No. g°F'°"(5@tloz+
Commission No. 2
lzax3
=en
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. b/b/LU