HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
T. LUCIE
• U N-T'Y
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8105 Alister Place
Property Tax ID #: 3327-707-0033-000-3
Site Plan Name:
Project Name: Jensen
I DETAILED DESCRIPTION OF WORK:
Solar Pool
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
Generator
Sq. Ft. of First Floor:
Residential X
Lot No. 29
Block No.
Windows/Doors Pond
Roof Pitch
Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Diane Jensen
Name: Erik F. DeLaney
Address:8105 Alister Place
Company: Climatic Solar Corporation
City: Port Saint Lucie State: _
Zip Code: 34986 Fax:
Phone No. 603-831-3452
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No 772-567-3104
E-Mail: skippy.75@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail sales@climaticsolar.com
State or County License CVC56671
If value of construction is 25W or more, a RECORDED 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:
DESIGI
Name:
otApplicable I MORTGAGE COMPANY: _Not Applicable
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Zip:
Name:_
Address:
City:
Zip:
Not Applicable I BONDING COMPANY: _Not Applicable
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. 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: Yourfailure 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 intendSo obtain financing, consult
with lender or an attorn9l before rar0hencing work or recording vour Notice bKonitnew9l0ent.
STATE OF FLORIDA
COUNTY OF Indian tea,
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 99 day of Jun. 2020 by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
(fignature of Nota yVublic-State a) n�" QnKRL
Notary Public
Commission No. HH71ba73 �' 1 �tate of Florida
Comm# HH318473
FmUx 5/25/2025
STATE OF FLORIDA
COUNTY OF Irdlen w.,
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 99 day of June 2020 by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
of Nbtakv Public- State
Commission No. HH118473
He1BIph Short
Notary Public
4)ate of Florida
Comm# HH118473
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
rtev. 5/6/20