HomeMy WebLinkAboutpermit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
IF-. LCE.
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L Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
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PROPOSED IMPROVEMENT LOCATION:
Address: 5231 Oakland Lake Cir Fort Pierce, FL 34951
Property Tax I D #: 1311-800-0063-000-3
Site Plan Name:
Project Name: LIBURD SOLAR PV
DETAILED DESCRIPTION OF WORK:
INSTALL ROOF MOUNTED SOLAR PV SYSTEM
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Lot No.50
Block No.
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof _ Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 31,581
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name MURIEL LIBURD
Name: DANIEL YATES
Address:5231 Oakland Lake Cir
Company: EFFICIENT HOME SERVICES OF FL LLC
City: FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.954-213-5099
Address:9416 INTERNATIONAL CT N.
City: ST. PETE State: FL
Zip Code: 33716 Fax:
Phone No844-778-8810
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailPERM ITTING@EHSFL.COM
State or County License EC13008759
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: REYES RUIZ DONATE
Name:
Address: 9416 INTERNATIONAL CT N.
Address:
City: STPETE State: FL
City: State:
Zip: 33716 Phone 844-779-6610
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.
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 attorney before commencing work or recording our Notice of Commencement.
"'I
Signer of Owner/ Lessee/Contractor as Agent for Owner
Sig a ure of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
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 27TH day Of APRIL 2020 by
this 27TH day of APRIL 2020 by
DANIEL YATES
DANIEL YATES
Name of person makinA�aent.
Personally Known Produced Identification
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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