HomeMy WebLinkAboutPERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Date:
LI.1LUr-
Building Permit Application
Planning and Development Services Commercial Residential x
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: ROOF TOP SOLAR
PROPOSED IMPROVEMENT LOCATION:
Address: 6147 Arlington Way
Property Tax ID #: 1312-501-0102-000-4
Site Plan Name: Adam Bookspan
Project Name: BOOKSPAN SOLAR PROJECT
DETAILED DESCRIPTION OF WORK:
ROOF TOP SOLAR
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
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ $55380
Sq. Ft. of First Floor:
Utilities: —Sewer
Lot No.167
Block No.
Windows/Doors
Roof
Septic Building Height:
Pond
Pitch
OWNER/LESSEE: CONTRACTOR:
_::7
Name
Adam Bookspan Name:SCOTT PORTIER
Address:
6147 Arlington Way Company: TITAN SOLAR POWER FL
City: FORT PIERCE State: — Address:7703 NW 46TH STREET
Zip Code:
34951 Fax: City: DORAL State: FL
Phone No.
55380 Zip Code: 33346 Fax:
@9
E-Mail: lareboredin o mail.com Phone No305-389-6017
g g
Fill in fee simple Title Holder on next page ( if different E-Maildjeune@titansolarpower.com
from the Owner listed above)
State or County License EC13009924
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
Name:
Address:
City:
Zip: Phone
State
MORTGAGE COMPANY:
Name:
Address:
city -
Zip: Phone:
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip:
Phone: Zip: Phone:
inriirntpri
OWNER/ CONTRACTOR AFF : Application is hereby ma
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
Nlntir•a of Commencement.
with I en der or an attorney e o
Signature of Contractor/License Holder
ature o er/ Lessee/Contractor as Agent for Owner
F,T
ATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Sworn (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Phy ' al Pres c or Online Notarization
ay of ' 2020 by
this day of 12020 by
this
ar-n_�'
�
Name of person making statement.
Name of person Nakink s ement.
Personally Known OR Produced Identification ✓
'Et[suoally Known OR Produced Identification
Type of Identifi ation
� _
Type of Identificat' n�
Pro cede—
Produced
—
X/� t1
Signa ure of Notar Public- State of Florida )
(Signature of Notary Pu - rtR
PHILLIP SORIANO
Pue'.
��,ir 04
iraY
Commission No. ;z° °�I.State ( Pfida Notary Public
- = Comm ss Ion # GG 931627
_
;•' DAPHNEY a UNE
Commission No. 4 p `'
Notary Public -State of Florida
` My Commission Expires
s1' Commisstort # HH 49375
•., orfl;:• My Comm. Expires 0 t 1, 2024
REVIEWS FRONT ZONING SUPERVISOR
"•Bo e r e i nat of OVE
PLANS VEGET
REVIEW REVIEW REVIEW REVIEW
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/ZU