HomeMy WebLinkAboutBuildingPermitApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/25/2021 Permit Number:
LUCI
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: Solar Panel System
PROPOSED IMPROVEMENT LOCATION:
Address: 5903 Hickory Dr Fort Pierce, FL 34982
Property Tax ID #. 3402-609-0438-000-1
Site Plan Name: Site Plan sheet PV-2
Project Name: WASSON
DETAILED DESCRIPTION OF WORK:
Installation of roof mounted PV Solar Panel System
New Electrical Meter X
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:
Cost of Construction: $ 27,717.00
OWNER/LESSEE:
Name Leo Wesson
Address: 5903 Hickory Dr
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No. (772) 801-7348
Sq. Ft. of First Floor:
Lot No.40
Block No. 63
Windows/Doors J Pond
Roof Pitch
Utilities: —Sewer _ Septic Building Height:
E-M a i I : Ignfl@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: Greg Albright
Company: Freedom Forever Florida, LLC
Address: 3590 NW 54 St Ste 3
City: Ft Lauderdale
Zip Code: 33309 Fax:
Phone No 954-310-2730
E-Mail wnoffsinger@freedomforever.com
I State or County License EC13008056
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.
State: FL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable 7 MORTGAGE COMPANY:
Name: Name:
Address: Address:
City:
Zip:
Phone
FEE SIMPLE TITLE HOLDER:
State: City:
Zip: Phone:_
Not Applicable BONDING COMPANY:
Not Applicable
State:
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 Country 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 our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signatur of C tractor/License Holder
STATE OF FLORIDA
COUNTY OF
STATE OF FLORIDA
COUNTY OF B..ard
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
this day of _. 2020 by this 25 day of JUne 2020 by
Name of person making statement.
Personally Known OR Produced Identification _
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Greg Albright
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary public -
Commission No. GG 179973 (Seal)
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