HomeMy WebLinkAboutPACKER, ELIZABETH - APPS.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number.
S711. LEM
Building Permit Application
Panning and Developrnent services
au4dnpand Cade Reguladon01vislan Commercial Residential
2.3W wrprMa avenue, fort Pkrce R .34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6232 SAND PINE CIR PORTST LUCIE, FL 34952
Property Tax ID #- Lot No.
Site Plan Name:
Project Name: PACKERPV
DETAILED DESCRIPTION OF WORK:
INSTAWNGA 6.3KW ROOF MOUNTED SOLAR PHOTOVOLTAICSYSTEM
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Block No.
_Mechanical _ Gas Tank —Gas Piping _ Shutters -Windows/Doors ` Pond
X Electric _ Plumbing ! Sprinklers _ Generator ` Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 25,575
Sq. Ft. of First Floor.
Utilities: _Sewer _Septic Building Height-
OWNER/LESSEE:
CONTRACTOR:
Name ELIZABETHPACKEER
Name: RAYMOND MEAD
Address:8232 SAND PINE CIR
Company: LSCI INC.
City: PORTSAINTLUCIE State:_
Address:7300 BRYAN DAIRY RD. STTE 400
Zip Code: 34952 Fax:
may. SEMINOLE She: FL
Phone No. 772-828-ONS
Zip Code: 33777 Fax:
E-Mail:
Phone No 727-671-4141
FRI In fee simple Title Holder on next pap (if different
E-Mail PERMriS® SUNTECSOLARENERGY.COM
from the Owner listed above)
State or County License CVC056656
If value of constnx tlon Is 2= or more, a RECORDED Notice of Commance nt k squired.
If value of HAVC Is $7,5W or more, a RECORDED Natke of Commencement Is required.
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SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
DEMSNE 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:
Zip: Phone:
city:
Zip Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application Is hereby node 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. Lode County makes no representation that Is granting a permit wig authorize the pem�It holder to build the subject structure
which Is in conflict with any ppkcable Home Owners Assocladon rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult vAt� your Home Owners Aswdation and review your deed for any restrkdons 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 Luce 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 Carnmencemtent may result In paying twke for
Improvements to your property. A Notice of Commencement must be recorded n _the public records of St.
Lucie County and posted on the lobsite before the first inspection If you intend to obtain financin consult
with nder or an attorneybefore commencingwork
or rec in our Notice of Commencement
/Z///
of Owner/ Lessee/Contractor as Agent for Owner
Siffhature of contractor/License Holder
STATE OF FLORIDA
STATE OF FLOR DA
COUNTY OF 3a'MLN1 3&3= per{{
COUNTY OF
Svjm to (or affirmed) and subscribed before me of
I or OnlinZ� Notarization
Sv4prn to (or affirmed) and subscribed before me of
Presence
Presence
this2
� f kV WA _
or Online Notarization
this
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.,
� by
RAYMOND MEAD
RAYMOND MEAD
Name of person making statement.
Name of person making statement.
Personally Known _ X OR Produced Ideriftatlon
Personally Known �_ OR Produced Identification
Type of Identification
Type of Idetti on
Prod 00,
Produced
( re of Notary Public- State of Florida I
r
S Notary Public - to of Florida )
Commission No,C=- !?,?_ 15L2 (Seal)
Commission N ll 50- (Seal)
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
HYLA CORSON
State of Florida -Notary Public _� - Commissiw) z GG 22751,
Commission p GG 227512 dr My Commission Expires
My Commission Expires June 12, 2422
June 12. 2422 -
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PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
•
BUH DING PERMIT
SUB -CONTRACTOR AGREEMENT
DOUGLAS DANKNER
(Company NameJlndividual Name)
the ELECTRICIAN Sub -contractor for RAYMOND MEAD
(Type of Trade)
(Printery Contractor)
For the project located at 8232 SAND PINE CIR PORTST LUCIE, FL 34952
(Project Street Address or Property Tax ID #)
have agreed to be
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, the Building and Code Regulation Division of St Lucie County will be advised pursuant to the
filing of a Change of Sub -contractor notice,
z4L'0.�
T"RkCTOR SIGNATURE (Qwjfflw)
RAYMOND MEAD
FRINNT NAME
COUNTY CERTIFICATION NUMBER
State of ram&, County of, E }L gv A"
Tke foregoing Ingtruabout woo signed before me 600 dqr of
m_Uby RAYMOND MEAD
WM Is peramAy lmma Y. kn prod -ad,
as Idenna6m
STAMP
apawfof Notary ftwk
�C+14 CC�>i\OV1I
Print Name of Notary Pob11e
�10 SITYLA CORSON
,AState of Florida -Notary Public
Commission # GG 227512
My Commission Expires
Revisedll/16/1016 June 12, 2022
8 S1GNA1'ITRE (t�uallflor)
OUGLAS DANKNER
PRM NAME
COUNTY CERTIFICATION NUMBER
Stab of Fbrkia, County of M gE"
The forgoing Ina rameat wu dgaed Won as this � d y of
ftL1� � Eby DOUGLAS DANKNER
E
penonalfy known or ku p cod a
lQeallon.
STAMP
ftOWul of Notary Pobae
Print Naan of Notary PobUc
, SITYLA CORSON
4r
,,State of Florida -Notary Public
Commission # GG 227512
My Commission Expires
June 12, 2022
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