Loading...
HomeMy WebLinkAboutCamScanner 06-08-2021 17.14All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: COUNTY V-L 0 R ID 7 R Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential x 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: b902 PAPAYA DR FT PIERCE, FL 34982 Property Tax ID #: 3402-610-0290-000.5 Site Plan Name: Project Name: MARCANO PV DETAILED DESCRIPTION OF WORK: INSTALLING A 6AKW ROOF MOUNTED SOLAR PHOTOVOLTAIC SYSTEM New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: Lot No. Block No. Additional work to be performed under this permit —check all that apply: _Mechanical ^ Gas Tank `Gas Piping Shutters -Windows/Doors Pond — Electric _ Plumbing _ Sprinklers — Generator ' Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 45.000 Utilities: —Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: NameGABRIELiA MARCANO Name:RAYMOND MEAD Address:5902 PAPAYA DR Company:LSCI INC. City: FORT PIERCE State: .FL Address:7300 BRYAN DAIRY RD, ST 400 Zip Code: 34982 Fax: City: SEMINOLE State:FL Phone No.917-805-2252 Zip Code: 33777 Fax: E-Mail:GYM7186@ICLOUD.COM Phone N0727-571-4141 Flit In fee simple Title Holderon next page ( If different E-Mail PERMITS@SUNTECSOLARENERGY,COM from the Owner listed above) State or County LicenseCVC056656 If valueof construction is 2500or more, a RECORDED Notice of Commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required. Scanned With CamScanner SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENG[NEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name; Name: Address: Address: City: State: 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 Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your dome Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, 1 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 finder or an attorney before commencing work or recordior your Notice of,Commencement. Sig ture of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 9) str _*k _ _ COUNTY OF Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization X_ Physical Presence or Online Notarization this9> day of ;751e4,E 20te-by this 6 day of _�-tntE _, 2024 by 21 2I Name Sf person making statement. Name of perso making statement. Personally Known i_ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identificatio Produced Produced {51 natur f Notary ubl tatg of Florl�a� ` ""a '" +�;e ul < u da-rJotary Pu61ic p GG 227512 "' e of Not m �S ate efF o+ary PuSlic Y;, t,, Sta+e Ui �4 l�Commission Commission n GG 227512Commission No, my CufSealjsion Expires Commission No _ +y Comm{Seal xPi+©s „ June 12, 2022 June 12, 2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Scanned With CamScanner - T_ PERMIT # ISSUE DATE Co o NT o A _ J PLANNING & DEVELOPMENT SERVICES Building & Code Compliance Division BUILDING PERMIT SUB -CONTRACTOR AGREEMENT DOUGLAS DANKNER have agreed to be (Company- Name/Indit.idual Name) the ELECTFiICAL Sub -contractor for RAYMOND MEAD (Type of Trade) (Primary Contrac(or) For the project located at 5902 PAPAYA DR. FT PIERCE, FL 34982 (Project Street Address or Property Tax ID 0) It is understood that, if there is any change of status regarding our participation with the above mentioned project, the Building and Cade Regulation Division of St. Lucie County tivill be advised pursuant to the filing of a Change of Sub -contractor notice. L4—, L70R SIGNATURE (Qualifier) Q a!q M d Ny M F-f3I-1 PRL\T \: lE COU\Tl' CERTIFICATION NUN III ER State of Florida, Courdy ofQ�, CRCk4 The foregoing htstruntent was signed before me Ihts g day of N 202_L by w ho is personally known �_('-r has produced a as identification. r STA\fP 5 !Mature o u12117_r 0c Print Na uta ftblic SITYLA CORSON State of Florida-tlotarY Public Commission a GG 227512 Revised 11'1G�016 MY Commission Expires June 12. 2022 5 ' �-1'R 51CNAT ualllier} e 6 u�3 PRII T . , _ IE COU1 f1' CERTIFIC.+TION NUZISER State afFlorida, Counhof a A ewAC44 The foregoing Instrument was signed before me this C dayor J _tU NF_ . 260. k 1.F5 who Is personally Imownor has produced a as Identification. _.._/asi STAMP 5 gmaturr Notary Public c5Yc.0, (f,:: 14 sor,, Print Name of Totary Public EE.— Scanned