HomeMy WebLinkAboutSLC permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/22/2021 Permit Number:
S a LUCIE
COU Nil =PY
F L O R I D A
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
Residential ves
PERMITAPPLICATION FOR: Solar Photovoltaic System Roof Mount with Battery Backup
PROPOSED IMPROVEMENT LOCATION:
Address: 8201 S Indian River Dr Fort Pierce, FL 34982
P rope, ty Tax I D #: 3518-313-0001-150-3
Site Plan Name: 8201 S Indian River Dr - Solar PV
Project Name: Ashley
DETAILED DESCRIPTION OF WORK:
19.8 Kw Solar Photovoltaic System Roof Mount with Battery Backup
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
_Generator
Total Sq. Ft of Construction: 1155
Cost of Construction: $ 895000,00
Lot No.
Block No.
_Windows/Doors _Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Robert Ashley
Name: Steven Lorenz
Address: 8201 S Indian River or
Company: All American Solar LLC
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No, 772-530-6300
Address:1060 E Industrial Dr Suite A
City: Orange City State: FL
Zip Code: 32763 Fax:
Phone No 386-218-6930
E"Mail:.rjAsh2000@gmall.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Finance@AI IAmerieanSolarLLC.00m
State or County License GVC56961
irvame or construction is zsoo 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
Name: Donnie C Godwin
Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 8378 Foxtail Loop
Address:
City: Pensacola State: FL
Zip:32526 Phone850-712-4219
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not
Name:
Applicable
BONDING COMPANY:
Name:
Not Applicable
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.
Thefollowing 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 'yza ' gconsult
with lender or an attornev before commencine work or recordine your
Signature of Owner/ Lessee/Contractor as Agent
G
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or_Online Notarization
this. day of 2020 by
COUFFORIDA
w r affirmed) a subscribed before me of
P sical Pres or Online Notarization
thl 0 2021 by
Name of person making statement. Name of person makings ement.
Personally Known OR Produced Identification Personally Known OR Produced I ntification
Type of Identification Type of Identification
Produced Produced // /I A
(Signature of Notary Public- State of Florida) (Signature
Commission No.
REVIEWS
DATE
(Seal)
SREVIEWOR
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COUNTER
REVIEW
REVIEW
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BEti D. AD.�MS
IY COMMISSION k�j049
EXPIRES: September 7, 2023
SEATURTLE MANGROVE
REVIEW REVIEW
MY COMMISSION,Y GAG 367049
EXPIRES: September 7, 2023
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