HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L0 a: Building 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:INSTALL ROOF MOUNTED SOLAR PV SYSTEM
PROPOSED IMPROVEMENT LOCATION:
Address: 3504 Avenue M Fort Pierce, FL 34947
Property Tax I D #: 2405-601-0506-000-1
Site Plan Name: STEVENS SOLAR PV
Project Name: STEVENS SOLAR PV
DETAILED DESCRIPTION OF WORK:
INSTALL ROOF MOUNTED SOLAR PV SYSTEM
New Electrical Meter X Second Electrical Meter
I CONSTRUCTION INFORMATION:
Lot No.20
Block No. 27
Additional work to be performed under this permit— check all that apply:
�Ze6ctric
anical _ GasTank _ Gas Piping Shutters Windows/Doors Pond
_ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 24,797 Utilities: Sewer
Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name HENRY STEVENS
Name:DANIEL YATES
Address:3504 Avenue M Fort Pierce, FL 34947
Company: EFFICIENT HOME SERVICES OF FL LLC
City: FORT PIERCE State: _
Zip Code: 34947 _ Fax:
Phone No.561-489-9278
Address:9416 INTERNATIONAL CT N.
City: ST PETE State: FL
Zip Code: 33716 Fax:
Phone N0844-778-8810
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailPERM ITTING@EHSFL.COM
State or County LicenseEC13008759
IT value or construction Is zbuu or more, a KELUKutu 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 E G ER:. Not Applicable
Name: I
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: \
City: State:
Zip: Phone
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.
Signatu a of ner/ Lessee/Contractor as Agent for Owner
Sign tu- e`of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSTLucIE
COUNTY OFPINELLAS
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 3RD day of MAY , 2020 by
this 4TH day of MAY 2020 by
HENRY STEVENS
DANIEL YATES
Name of person making statement.
Name of person making tement.
Personally Known OR Produced Identification x
Personally Kn( OR Produced Identification
Type of Identification
Type of Identification
Produced DL
Producl;4
(Signature of N t ry Public- State))f wf) Notary Public Stale of
1,(� My commission HH 1
Commission No. V`v !0,& )MY commission
lhn o(&na r o Notary Public- State of FI ids PiNotary public Sla
7 Emily Kuhn
��mm sion No. 11 S Wa;
Ex Commission
Expires 03/15l20
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
VVYS
Florida
k 795