HomeMy WebLinkAboutPERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:LolaW Permit Number-
O _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential V
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:INSTALL ROOF MOUNTED SOLAR PV SYSTEM 1
PROPOSED IMPROVEMENT LOCATION:
Address: 5239 Oakland Lake CIR Fort Pierce, FL 34951
Property Tax ID #. 1311-800-0065-000-7 Lot No.52
Site Plan Name: Block No.
Project Name: MARTINEZ SOLAR PV
DETAILED DESCRIPTION OF WORK:
INSTALL ROOF MOUNTED SOLAR PV SYSTEM
New Electrical Meter Second Electrical Meter
[CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mchanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
/ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
vr-
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 29,992 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameWAYNE MARTINEZ Name:DANIEL YATES
Address: 5239 OAKLAND LAKE CIR Company: EFFICIENT HOME SERVICES OF FL LLC
City: FORT PIERCE State: fX�- Address:9416 INTERNATIONAL CT N.
Zip Code: 34951 Fax: City: ST PETE State: FL
Phone No. 772-777-0279 Zip Code: 33716 Fax:
E-Mail: n I c Phone No844-778-8810
Fill in fee simple Tit a Holder on next page (if different E-Mail PERMITTING@EHSFL.COM
from the Owner listed above) State or County License EC13008759
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.
PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: REYES RUIZ DONATE
Address: 9416 INTERNATIONAL CT N.
City: ST PETE State: FL
Zip: 33716 Phone 844-778-8310
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City: _
Zip: Phone: -
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone
x Not Applicable
State:
x Not Applicable
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
STATE OF FLORI �
COUNTY OF-- AILIZ l�S
5 rn to (or affirmed) and subscribed before me of
Physical Pres nce or Online Notarization
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Name of person makFrJ6 statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
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Public- State
Commission o. 1 %
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ctor/License Holder
STATE OF FL M�C
COUNTYOFcC
Vw rn to (or affirmed) and subscribed before me of
� h sical Presence or Online Notarization
thiaoi ay of �j��(1[j�_�z629-by
Name of person ma7tatement.
Personally Known OR Produced Identification
Type of Identification
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Emily Kuhn
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Expires 03/15/2025
Expires 0301512
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