HomeMy WebLinkAboutPermit Application - LaneAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04/07/2021 Permit Number:
O
` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential Q
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: 1010 Pulitzer Rd Fort Pierce, FL 34945
Property Tax ID #: 2317-222-0001-000-8 Lot No.
Site Plan Name: 1010 W PULITZER RD FL 34950 Block No.
Project Name: LANE, LYN
ROOF MOUNTED SOLAR PV SYSTEM INSTALLATION - 19.47 KW
New Electrical Meter Second Electrical Meter
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: $ 51,595.50 Utilities: -Sewer _Septic Building Height:
,,,
Name LYN LANE
Name: NORMAN E. PURKEY
Address: 1010 W PULITZER RD FL 34950
Company: SOLAR BEAR LLC
City: FORT PIERCE State: FL
Address:4091 AMTC CENTER DR
City: CLEARWATER State: FL
Zip Code: 34945 Fax:
Phone No. (772) 532-9680
Zip Code: 33764 Fax:
E-Mail:1.lane@stlucieeye.com
Phone No727-471-7442
Fill in fee simple Title Holder on next page (if different
E-Mail,IOET@OURSOLARBEAR.COM
State or County License EC13006630
from the Owner listed above)
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:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 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
with lender or an attornev before commenrinw wnrk nr rPrnrdino vni it Nnrlrc of r„mmnnrnm.nt
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Signature of Contractor/LiEe—n—se-ItAer
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PINELUS
COUNTY OF PINEL S
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