HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
;4 WCLE..
r a .
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: roof mounted PV solar and interconnection
PROPOSED IMPROVEMENT LOCATION:
Address: 6731 Alemendra Fort Pierce, FL 34951
Property Tax ID #: 1306-500-0160-000-6 Lot No.
Site Plan Name: Block No,
Project Name: Cerezo SOLAR
DETAILED DESCRIPTION OF WORK:
roof mounted PV solar and interconnection
New Electrical Meter Second Electrical Meter
j CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
— Electric w Plumbing —Sprinklers Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 33,146.00
Sq. Ft. of First Floor:
Windows/Doors Pond
Roof Pitch
Utilities: Sewer —Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Marjorie Cerezo
Name: Richard Longo Jr.
Address. 6731 Alemendra
Company: Florida Power Management
City: Fort Pierce State:
Zip Code: 34951 Fax:
Phone No. 772) 446-5689
Address: 1331 Green Forest Ct. #3
City: enter Garden State: FL
Zip Code: 34787 Fax:
Phone No407-554-2047
E-Mail: mcerezo148@hotmail.com
Fill in fee simple Tittle Holder on next page (if different
from the Owner listed above)
E-Mail jenna@fpmsolar.com
State or County License EC13008645
11 Vol UC ui Lull bUUCUO" [5 4�W Or more, a Ktt VKUt1J Notice OY L.dmmencement 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:
Name:
Address:
Address:
City: _ State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: 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.
# 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 Houle 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 Retort! 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.
Signature of Contract5*61"71116lder
Signature o Ow erj L e/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF_f) t�+e
STATE OF FL RIDA
COUNTY OF�1�nA QQ —_
S orn to (or affirmed) and subscribed before me of
?hP sical Presence or Online Notarization
n to (or affirmed) and subscribed before me of
Sg Physical Presence or Online Notarization
ill day of t�� , 2020 by
t[ day of 2020 by
r
Name of person m king statement.
Name of person ma kirm statement.
Personally Known OR Produced Identification
TypIEdentification �^
oed �-Dl.. L5�0-. qb)-
Personally Known OR Produced Identificatiort/)<
Type of Identification
Pr duc SLbk-- L_SDL0--? 40-S; -- -7-0
(Signature of Notary Pu Ii Sta of Fio 'da )
State of FI rida
Signature of Notary PuVs)q
Commission No. �iQ Notary PuVhcStateof,�
'�+ Sym
Nicole,m.r an
MY Commission G
Ex tres 1012 I
�ia r1 +5 1 y ry
is 1i55 n No. ?tl a I tNa Public State of
Nicole B g
927579 Ytn ]ort
�y COf1V17155ipn GG 9
i k
7 c
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
P S
REVIEW
VEGETATION
REVIEW
SEA TURTL
REVIEW
�3
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.