HomeMy WebLinkAboutConeypermitPacketAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ �"�O*J Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE:,}�
PROPOSED IMPROVFMFNT i r)rATlnni-
5��s'iC,
Address: T r` e
Property Tax ID #: o� <n 0 O C) �}
Site Plan Name:
Project Name: __ e y . (T 1ot 4N?—w
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit --check all that apply:
—Mechanical — Gas Tank ` Gas Piping _ Shutters
KElectric ` Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: —
Cost of Construction: $ 0 C) Utilities: —Sewer _Septic
OWN ER/LESSEE:
Name
CONTRACTOR:
Name: e r
Company: r
Address: L,,C) Sp
Address:
City: T e State: '(
Zip Code: _3 L(9L 5 Fax:
City:` 1 +"
Phone No. j�� 3`�
Zip Code:
E-Mail: + C + G Z
Phone No__
Fill in fee simple Title alder on next page ( If different
E-Mail ° o •,�
from the Owner listed above)
State or County Lice.
If value of construction is $2500 or more, a RECORDED? Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
ne rh,�a S uc e
N.
Fax:
State: (
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DrI SIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
city: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip:
Phon
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,"
Signature of Owner/ Lessee n ractor as gent for Owner Signature of Cont r/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF Z- UZ-( _-C, COUNTY OF_
The forgoing instrument was acknowledged before me
this day of M f� 20_spjL by
Name of person making statement.
rsonally Kno OR Produced Identification
Type n I ication
Produced
Kvnx
(Signature of Notary
t�P bli -� St'ale of Flori )
Commission No. G�C1�A a -} (Seal)
REVIEWS FPR�Of
ruM411mrn Not rofiEokbllaSt�lte &
The forgoing instrument was acknowledged before me
this � day of M iq i 2014 by
&� ?-r - tI �(-,C k
Name of person making statement.
rsonally Kno OR Produced Identification
Typ ' Ion
Produced
(Signature of Notary Public- Sta e f Fionda )
Commission NCC_ (Y�
Notary Publte Stale d FkmW*
PLANS VEGETATI �TMycommion+GG os2752
REVIEW REVIEW a�OE
DATA ' �, My ommiaaion GG 9r52
RECEIVED �+a,.d Elm 12/2W023
DATE —
COMPLETED
SOLAR ENERGY SYSTEMS ESTIMATE and PROPOSAI`
An Energy Management Company www.solamnergysystems8.com infosolarenergy$G)gmail.com
..........
160 Smallwood Ave. Florida State Certified Solar Contractor #
Ft. Pierce, Florida 34982 Martin Co. Indian River Co. State
772-464-2663 772-288-0442 772-562-8999 1-800-330-7657 DATE 20
NAME i Pl n t,: r CELL
EMAIL
ADDMSS C1Ty STATE Z1PCODE
SPECIFICATIONS: Solar Energy Systems offers to furnish and install: C7 BACK-UP GENERATOR
2 SOLAR ELECTRIC SYSTEM
0 Grid -Tie 0 Grid -Tie wlback-up 0 Stand Alone ELECTRICAL INFO
System Size _T KW
AC Requirements,- C9 120 V U 240 V CI 208 V 3PH
Array Mount Type: CI Flush 0 Tilt
Roof Type: CI Shingle CI Flat Tile a BelT l ,Tg n, . ,�
n Metal Type - O GroundJA 1�'� J1 r T! V
i SingleStory 0 2 Story C3 Lift Required
Name of Utility Company:
— - - 'Skelch cif R of Area `
SFS Gold Warranty
• 25 Year Product Warranty
s 25 Year Performance Warranty
• 25 Year Labor Warranty
Indwriry's Best Warranty
Location of Breaker Panel
Model # of Breakers
# of Empty Slots Available
Distance to Solar Array Ft
Clear Attic Access: 17 Yes Q No
MAIN BREAKER SIZE AMPS
NOT 7pa? cu' IOMI AtdUEN
No IO&CM-)
/'s g—'M49TAW Do /V e, (C:
W
ILL 0141(L 0
Ian P1�i?rx,P, ' r ?_-rA 3r?CC9 Sp a
Sack-uj Info If Applica
# of days Sack-UpR6'qI
Battery
13 Battery 1
Location: 0 Outdoor O Indoor
INSTALLATION I understand thatthis is only an estimated date, and that I wID be contacted prior to this skate to schedule actual Submit) ed By:
DATE tel1ni11:_ installation.
CustamerCan Buy At11., ic{DATE) Building ContacF Phone#
Contractor:
We hereby propose to furnish labor & materials - Complete installation to existingpremises in accordance with above specifications, for the Sum of.
TOTAL af� 1 k---D011ARSS_ - --
With payments to be made as follows DEPOSIT $ - _ . __. CIBALANCE $ 17 UPON COMPLETION FI TO BE FINANCED
All system components meet FSEC standards, Allwork Is to be campleted in aworkmanlike manner according to standard practices. Any alteration or deviation from above specifications Involving extra costs, wul be executed
only upon written orders, and will become an extra charge aver and above the estimate. All agreements are contingent upan strikes, accidents or delays beyond our control.
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above.
Payments not made upon completion subject to late tees after 10 days.
DATE (CUSTOMEIVS SIGNATURE) (SPOUSE'S SIGNATURE)
CUMEMBER FPL FLA@[gU
Sfn��tER: WHITE OFFICE. FINK INSTALLER: 1�tANILLA FLOpiPA
� %## !M—',�—SPA PARTICIPATING saaaanaerawmra.u,a
66B. ,_ .gg6qVPelW.. INDEPENDENT
roNTRArTnR Rev 15