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HomeMy WebLinkAboutFarmerPVApplAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: to � 0- -?'d Permit Number: *omp COU NTY "_M'� F L 0 R 1 D A' Planning and Development Services Building and Code Regulation Division .2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Building Permit Application Commercial Residential k PERMIT TYPE: C-,\ c c� C 0-p- c e PROPOSED IMPROVEMENT LOCATION: Address: � i i `�" rem 3 99 yq_ Property Tax ID #: 1-`i 1 ] 0 ( Q f ,7 Q OOD1.,,3 Lot No. F Site Plan Name: r-" c- r-t (11 Block No. K'a_ Project Name: _ 6 e f fiA -�= (:>� f- - DETAILED DESCRIPTION OF WORK: Q CONSTRUCTION INFORMATION: Additional work to be performed under this permit -check all that apply: _,Mechanical � Gas Tank ` Gas Piping - Shutters _ Windows/Doors XElectric _ Plumbing w Sprinklers _ Generator T Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 00 Utilities: -Sewer -Septic Building Height: 0WNERILESSEE: CONTRACTOR: Name 1 <)1`3Cft (- )-(rr�-t? r- Address: r ;t'? ..C.Ue Cc) &5 S C City: - T vi e- r State: P/L Zip Code: -2) 4 9q 9— Fax: Phone No_-) 3(q_-) DL3 Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: e r Company:—Sok(- 1 Address: 16U ama• I I U,j0 g C, ie lY-, City: r Pre rc -. stater - -- Zip Code: i Wcjl�_ Phone No E-Mail LGt C,nc,rc--)y o7 ;s r" C rr State or County LicenseC: � 0J � f(o 3 If value of construction is $2so0 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. SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: NEER: _ Not Applicable Name: Address: City: State: Zip: Phone FEE SIMPLE TITLEHOLDER: _ 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: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated, 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, wails, 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 tense Holder STATE OF FLORIDA I STATE OF FLORIDA r i COUNTY OF f oc'I -e— J COUNTY OF S.._._. The forgoing instrument was acknowledged before me The fo oing instrument was acknowledged before me this -; -- day of s 20,*%) by this day of _ 20J by 12ob A Z 1-C; q Q1 "RJ9_e,K Z �4d i c),1c Name of person making statement. Name of person making statement. rsonally Knoy!rn' OR Produced Identification Type of identification of Notary Poblk- State of Commission No.RS ry Pubk State of Klmdefly Large qw ErrP� tr 17,lZ8120?3 REVIEWS FRONT COUNTER I REVIEW I REVIEW RECEIVED CO OR Produced Identification Type of Identification Produced (Signature of Notary Public- to of orida j 'i4�'![mission No.l...) ' " "Dl J �_ (Seal) VEG ETATI REVIEW PUbM 8trta of F11601" SOLAR ENERGY SYSTEMS An Energy Management Company v ESTIMATE and PROPOSAI .cam infosolarenergyfl@lmlaii.com b 160 Smallwood Ave. Florida State Certified Solar Contractor #CVC056637 Ft. Pierce, Florida 34982 Martin Co. Indian River Co. state 772-464-2663 772-288-0442 772-562-8999 1-800-330-7657 NAME PNONE -a ..J j L 0 /1rT f E-MAIL r- Ty ADDRESS �: �_, SPECIFICATIONS: Solar Energy Systems offers to furnish and install: -1 Grid -Tie 0 Grid -Tie wlback-up 17 Stand Alone System, Size --I— KW 1 % 4 t►■ AC Requirements, 1 120 V 1-1 240 V ❑ 208 V 3PH Array Mount Type: 1 Flush 0 Tilt Roof Type: O Shingle C7 Flat Tile C7 BBL Tile Type 0 Metal Type ❑ Ground �7 Single Story 0 2 Story O Lift Required Name of Utility Company: Sketch of hoof Area SEE Grold„ , armnty • 25 Year Product Warranty • 25 Year Performance Warranty • 25 Year Labor Warranty fndusrtry's Best Warranty STATE -LIPCODE ❑ 13ACK-UP GENERATOR 17 SOLAR ELECTRIC SYSTEM ELECTRICAL INFO Location of Breaker Panel CELL Model # of Breakers— r # of .Empty Slots Available Distance to Solar Array__. Clear Attic Access: Q Yes 0 No C f 0 MAIN BREAKER SIZE ANTS NOTIES: 14-1 4 14 pi. gaic- VNA, iNornct, oClt4 to call Back-up Info If Applicable: O Battery # of days Back -Up Requested Battery Nlfr. ❑ Generator Battery Location: O Outdoor © Indoor INSTALLATION I understand that this is only anestimated date, and that I will be contacted prior to this date to schedule actual Sitl,niitteil Ay: DATE installation. Customer Can May At'] his Price Until: iDATF) Ituilding COntaCt] Phone# Contractor: We hereby Propose to furnish labor ttrmaterials - Complete installation to existing premisrsiDarcordancc with above specifications, for the sum of: TOTAL DOLLARS q _ nth payments to be made as follows P DEPOSIT $ F O BALANCE $ O UPON COMPLETION O TO BE FINANCED All system components meet FSEC standards. Ali work is to be completed in a workmanlike manner accord i ng to standard practices. Any alteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements arc contingent upnn 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 etude upon completion subject to late fees after 10 days. 0— DATE -- — - — DA (CUSTOMER'S SIGNATURE) ` MEMBER CllSTOtif ER:WHtTE ��� OFFICE: PINK PL 66B 0--w PARTICIPATING a w ,,�,w • .. INDEPENDENT CONTRACTOR INSTALLER: MANILLA FLA�`TTZ;i� FLDRIGA 1; sxsx daxr rwianmsrw Rev 1-5