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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) - _ — - _ - -. __ (SP0USF.•SSl(;NXl'URrt hirh,llFR ����n I its td icon -_�C „t1 u I rr+h FPL a %In ::ul Roeba "�-•r./ PA PA RTICl irAiilti t, I FIRB INDEPENDPAI.l. dwadoeerrarurnrr ud. C:ONTPACTOR Rev 1 5