HomeMy WebLinkAboutBuilding permit application (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
2/24/21 Permit Number: 2102-0074
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMIT TYPE: Solar Photo -voltaic System
PROPOSED IMPROVEMENT LOCATION:
Address: 12506 W Midway Rd
Property Tax ID #: 3305-142-0000-000-2
Site Plan Name: Nagapoollay
Project Name: Nagapoollay
DETAILED DESCRIPTION OF WORK:
Installation of a grid -tied roof -mounted solar photovoltaic system
CONSTRUCTION INFORMATION:
Lot No. —
Block No.
Additional work to be performed under this permit —check all that apply:
_Mechanical , Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_4`1ectric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 559
Cost of Construction: $ 15,180.00
OWNER/LESSEE:
_ Generator — Roof
Sq. Ft. of First Floor: _
Utilities: /Sewer —Septic
Name Daodatee Nagapoollay
Address: 12514 W Midway Rd
City: Fort Pierce, FL State:�I,_
Zip Code: 34945 Fax:
v"__ rjo_ 407 874 4630
E-Mail: AHJ(Pwindmarhome.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Building Height: 30FT
Name: Neal Burdick
Company: Windmar Home Florida, INC
Address: 6753 Kingspointe Pkwy
City: Orlando
Zip Code: 328") Fax: _
Phone No 407-308-0099
E-Mail AHJ@windmarhome.com
State or County License EC0002179
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
State:
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: N,1�%Name:
Address: 53 � Ir i
MORTGAGE COMPANY: _ Not Applicabl
Address:
City: State:
City:%iY tic) Sta : �- J__
Zip: nn . - Phone '0 - - QQ
�, fl-
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — 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 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 struct e
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 YOUR P YING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDE AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CO SULT
WITH YOURAILENDER OR AN ATTORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT."
Signatur actor as Agent for Owner
STATE OF FL RIDA
COUNTY OF inG�i �1
The for oing instrurp nt was acknowledged before me
thisd�. Xclay of 200 11 by
Name of pe n making statement.
Personally Known OR Produced Identification
Type Ider on v r LA u n�
Producc ed I)
ADAMIRTACRUZ
signature of Notary i i _ ta; a dffo,�Nlel#5)SION if GG ss1741
EXPIRES: February 24, 2024
Bonded T �1y Public Underwriters
Commission No
REVIEWS FRONT I ZONING
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DATE
RECEIVED
DATE
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Signa
STATE OF FLORIDA
COUNTY OF (,IY6,,
The forgoing instru ent was acknowledged before me
this day of (20_ by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identi ication
Produced _ir1 V y
(Sign-ature of Notary Public- Stat
Commission No
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SUPERVISOR PLANS VEGETATION I SEA TURTLE MANG
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