HomeMy WebLinkAboutJune Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: t Permit Number:
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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:
PROPOSED IMPROVEMENT LOCATION:
Address: 8612 Cobblestone Drive
Property Tax ID#: 2326-600-0074-000-8 Lot No.69
Site Plan Name: Block No.
Project Name: June
DETAILED DESCRIPTION OF WORK:
Solar Pool Heating System
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
_Electric _Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 4,400.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Karen June Name:Erik F. DeLaney
Address:8612 Cobblestone Drive Company:Climatic Solar Corporation
City: Fort Pierce State: Address:8612 Cobblestone Drive
Zip Code: 34945 Fax: City: Vero Beach State:FL
Phone No.772-201-7834 Zip Code: 32962 Fax:
E-Mail:kjune53288@aol.com Phone N0772-567-3104
Fill in fee simple Title Holder on next page (if different E-Mail Sales@climaticsolar.com
from the Owner listed above) State or County LicenseCVC56671
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: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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.
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 th job efore the first inspection. If you inte to o tai ' ncing, consult
with lende or an attorn of re encin work or recordi our Notic C m ent.
Signature bf Owner/Lessee/Cont or as ent for Owner Signatuk of Contractor/Licens !der
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFlr-dwPj er COUNTY OFindianRiver
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or_Online Notarization x Physical Presence or,Online Notarization
this 7m day of Apm 2020 by this 7m day of Apdi 2020 by
Name of person making statement. a w N Name of person making statement. N o
U OR 't p m p p N
Personally Known x OR Produced Identifical)b@ v 0 Personally Known x OR Produced Identificatbre_LL��LO
Type of Identification ti 6 Type of Identification z b � y
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ignature of N t a Public-State of Florida) *4� 1
. Signature of Not Public-State of Florida)
Commission No. oc1aaaa2 (Seal) Commission No. GG148342 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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