HomeMy WebLinkAboutAPPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 8, 2021
Permit Number:
Building Permit Application
Planning and Qevelopment Services
Building and Code Regulation Div. 'ion Co m m e rc i a
2300 Virginia'Avenue, Fort Pierce r134982
Phone: (772 � 462-1553 Fax: (772) 462-1578
Residential ,' ' x
PERMITA'PLICATION FOR: PV SOLAR PANEL INSTALLATION
Address: 322 Holly Ave Port St. Lucie, FL 34952
Property Tax ID #: 3420-550-1125-000-8
Site Plan Name: CHRISTOPHER & JENA WEISS
Project Name: CHRISTOPHER &JENA WEISS
15.3 KW PV SOLAR INSTALLATION ROOF MOUNTED
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tanis _Gas Piping _Shutters _
Electric _Plumbing _Sprinklers _Generator
_ ,� o l ia�
Total Sq. Ft of Construction: �`�� � ��- Sq. Ft. of First Floor:
Cost of Construction: $ 37565
Name CRISTOPHER &JENA WEISS
Address: 322 HOLLY AVE
City: ST. LUCIE FL
Zip Code: 34952 Fax:
Phone No.
State:
Lot N o.
Block No.
Windows/Doors
Roof
Utilities: _Sewer _Septic Building Height:
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: MICHAEL C PASTERNAK
Pond
Pitch
CompG ny: ATLANTIC KEY ENERGY
Address: 7006 STAPOINT CT SUITE B
City: WINTER PARK State: FL
Zip Code: 32792 Fax:
Phone No 407-819-4000
E-Mail PERMITTING@ATLANTICKEYENERGY.COM
State or County License
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City: State:
City$ State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY. x Not Applicable
Name: Name.
Address: Address:
city: city:
Zip: Pho� z: Zip: Phone.
_
OWNER/ CONTRACTOF AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie C. unty makes no representation that is granting a permit will authorize the permit holder to ::;uild 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 .cructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to anothe non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
imps ivements to your property. A Notice of Commencement must be recorded its the public records of St.
Lucic County and posted on the jobsite before the first inspection. If you intend tc� obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
)oy4wner
Signature essee Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA r
STATE OF FLORIDA
F
COUNTY OF poir Sk Ul-
COUNTY OF PORTSTLUCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
�( Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this day of ,U2,,by
this S day of February �402=1, by
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification l!
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produce_'
Produced
n
(Signature of Notary Public- State of Florida)
(Signature of Notary Pub ' - 9tate of Florida )
• 10 Poe CRYSTAL PENA
Commission No. Yw (Seal) CRYSTALPE& �° •#�. (S
Commission No. - t�mission # GG 284543
T�**•,*'
* * Commission # tiG 2$450 Expires December 16, 202
o
0 F1o�� Bond Tin OudeNolaryS oFF� 0
MING
REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20