HomeMy WebLinkAboutMorgan Building Permit App All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
5 : J
• -
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: 180 SE Placita CT Port Saint Lucie, FL 34983
Property Tax ID#: 3419-550-0111-000-6 Lot No. 10
Site Plan Name: Block No. 70
Project Name: MORGAN RESIDENCE
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF SOLAR PV SYSTEM TO ROOFTOP
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
X_ Electric _Plumbing _Sprinklers _Generator _Roof Pitch
URBAN SOLAR GROUP/KIMANDY LAWRENCE EC13005324
Total Sq. Ft of Construction`: (i Sq. Ft. of First Floor:
Cost of Construction: $ 41 5 b I- . Q Utilities: —Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Heidi M Morgan; Timothy S Morgan Name: MICHAEL VERGONA
Address: 180 SE Placita CT Company: URBAN SOLAR GROUP
City: Port Saint Lucie State: FL Address:990 S ROGERS CIR STE 4
Zip Code: 34983 Fax: City: BOCA RATON State: FL
Phone No.5616092664 Zip Code: 33487 Fax:
E-Mail: PERMITTING@URBANSOLAR.COM Phone No 5616092664
Fill in fee simple Title Holder on next page ( if different E-
from the Owner listed above) Mail PERMITTING@URBANSOLAR.COM
State or County CVC56948
License CVC56948
If value of construction is 2500 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:
DESIGNER ENGINEER: _ 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 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: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 lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA a
COUNTY OF m &ci Ck COUNTY OF Pb1 Pa yW wkc� 1
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Ph sical Presence or_Online Notarization �Physical Presence or_Online Notarization
this day of I(,,fps{ ,20AL by this-aday of J L4/v ,20sa.1 by
MICHAEL VERGONA MICHAEL VERGONA
Name of person making statement. Name of person making statement.
Personally Known—,X—OR Produced Identification Personally Known_X_OR Produced Identification
Type of Identification Produced Type of Identification Produced
(Signature of Notary Public-State of Florida ignature of Notary Public-State of Florida)
Commission No.G6995$ .0"�y,- f1��q�p�tppudwStote(�Todd lonoa pp
5fep 6me M Todd Immission No.6- �gsPo "'j�Se( en PuaK stew of Farb
My Commission GG 945800 `��/* Stephan*M Todd
q dr Expires 01/09/2024 '� d My Commissar GG 945800
erw ywd' Expires 011092024
REVIEWS FRONT ZONING SUPERVISO PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW R REVIEW REVIEW REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.