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HomeMy WebLinkAboutBuilding Permit applicationAll APPLICABLE INFO MUST DE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 19- 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
PERMIT TYPE:
� FKUNUSED IMPROVEMENT LOCATION:
Address; 5 I_
Property Tax ID
Site Plan Name: C�e,O
Project Name: COY' e-,-ror .
DETAILED DESCRIPTION OF WORK:
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:
Cost of Construction: $ L3P2 - 15
OWNERAESSEE:
Sq. Ft, of First Floor;
Lot No, 3
Block No. �,.L .
Windows/Doors
Roof Pitch
Utilities: Sewer Septic Building Height:
Name
Address: j~� Q CZ f'
City: �,c W -s Si State: ELL
Zip Code: Fax:
Phone No. it (,C>C1
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name:_'�e-�•
r
Company:
Address: S
City: FT el e State:_
Zip Code: Fax-l])y b `i.:
Phone No�,��„
State or County
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of FIVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Ni
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Appiicabie
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip Phone:
BONDING COMPANY: ,Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit..
St. is inc onflict with any applicablelHomeaOwners Asssociationl ruiesabylaws or and covenants that build
drestrict or prop bit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply,
in consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE .SOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
J- 7t a"da4
1
Signature of Owner/ Lessee n ractor as gent for Owner Signature of Cont r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 T (_ V C. [ �, COUNTY OF S ( (_ L)Q tC,
The forgoing instrument was acknowledged before me The fa�r$�ing instrument was acknowledged ,before me
this _�/ day of�� �, 20 by this day of -e 20 by
z y—CC �e I�d��l� Zr�, ��L
Name of person making statement. Name of person making statement.
Ily Kno OR Produced Identification
Produced
(Signature of Notary Pu Tic)State of orida j
Commission No. J o„yP, g%610aRl„ic,
Kimberly Large
y ,3 My Comaeins GG 942712
REVIEWS
COUNTER I REVIEW � REVIEW
DATE
RE;CE
COMPLETED
7ersonally Known_ OR Produced Identification
fy0-e-of l Idert catlf � lion
Produced
(Signature of Notary Public -#ate of
Commission No.ta`j q'1L151,.. LSea ,ury P„bNc Staco
. Kimberly Large
PLANS VEGETATION SE**VMS"
REVIEW REVIEW REVIEW I REVIEW
DocuSign Envelope ID:4A834AAF-oA58-4GE3-8F58-AAEECDE12385
SOLAR ENERGY SYSTEMS
An EnergyMarragem"Company www.solar
0160 Smallwood Ave.
Ft Pierce, Florida 34982
772-464-2663
NAME
George Bittorf
Martin Co.
772.288-0442
ESTIMATE and PROPOSAI
wdc a . utrYu aulitr %-craimcIor Irt,Yt.UN*t 51
Indian River Co. Suite
772.562-8999 1-800.330-7657
Pl-toN' 7176019735
5/27/2021.
VATB 2p
cEa _ - -- -
L,MhILGeorge8ittorf@gmail.com
ADDRESS CITY — STATE 71PCODE
155 NE Naranjo ave Saint LucieI,s I Florid 34983
SPECIFICATIONS: Solar Energy Systems offers to furnish and install;
I Grid -Tie -3 Grid -Tie w/back-up C1 Stand Alone
System Size13.63 KW
AC Requirements: 0 120 V
Array Mount Type: I'1 Flush
q 240 V C7 208 V 3P1-I
I Tilt
Roof Type; Shingle 0 Flat Tile t7 BBL File Tyke
O Metal Type O Ground
CI Single Story 0 2 Story
Name of Utility Company;�
Lift Required
Sketcb of Roof Area
SFq Grold Mrrann sty,
• 25 Year Product Warranty
• 25 Year Performance Warranty
® 25 Year Labor Warranty
Indusrtrv's Rest Warranty
C1 BACK-UP GENERATOR
0 SOLAR ELECTRIC SYSTEM
ELECTRICAL INFO
Location), of Breaker Panel
Model # of Breakers
# of Empty Slots Available.
Distance to Solar Array^,
Clear Attic Access; C7 Yes
I No
MAIN BREAKER SIZE .. _AMPS
NOTES
Nest
Insulation
Estimated pro
duction:22739
Back-up Info If Applicable: 17 Battery
# of days Back -Up Requested
Battery Mfr.
© Generator
Battery Location: © Outdoor a Indoor
INSTALLATION I underataad that I his Ii only on estimated date, and that I will be contacted prior to this dale to schedule actual tied
DATE installation. df Rr25 Ellis
t�1W y2dkgftthisNikeUntil (DATE) Building Solar Energy Systems Contacts Phone
��y/ 1 Contractor �y y 772-464-2663
We hereby propose to tarnish labor lSt nmtcriah [:nm bete dnstallatjtit��aises In accordance with above specifications. far the sum of
63,963.59 Monthly:Lr03
TOTAL. monthly if no Dob.LARss�
2w--Ts pai"d-
With payments to be made as Ibilows.'l IIF,POSIT 3 dawn : 2l}31ALANCF, S _ 11 UPON COMPLETION C7 TO BE FWANCED
A II sysurn tompisnentr meet FSEC atatsdsrds. All work is to he crunplocd to a workmanlike manner ad Lording to standard practicer. Any alteration of deviation from above rpectfiraltons Involvint extra caam will be executed
an ly ap,m written urders, and wi II become an ulna charge over and above the nutrate. Art Wrrnetns are wnt,ngeot upon alrtkes, maiden to 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 fens after 10�J,�VVs.
�60tuaigned by;
5/27/2021 — — - N,q
nATI: (C:L` aW'�tB �FIRF) - _ —
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