HomeMy WebLinkAboutSCHRODER_PMT APP_NOTARIZEDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/29/21
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Commercial Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: 1713 York CT Fort Pierce, FL 34982-5672
Property Tax I D #: 2421-601-0043-000-7
Site Plan Name: Henry Schroder & Phyllis Burk
Project Name: P-6893
DETAILED DESCRIPTION OF WORK:
** Roof Mounted ** PV Solar Installation / System Size: 19.8 kW DC
(60) TSM-DD06M.05(II) 330 PV MODULES / (2) SolarEdge SE760OH-US (240V)
Expected Interconnection method of Side Supply Tap
Lot No. 2
Block No, 5
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 -SOLAR —Plumbing — Sprinklers _ Generator Roof Pitch
(if needed) 1083.E Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 81,576.00 Utilities: _Sewer _ Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Phyllis Burk, enry Schroder _ _ Name: Steven Peebles
Address: 1713 York Ct Company: Meraki Installers
City: Fort Pierce State: FL Address: 21 N New Warrington Road
Zip Code: 34982 Fax: City: Pensacola State: FL
Phone No. (443) 610-5025 Zip Code: 32506 Fax:
E-Mail: hschroder@cablespeed.com Phone No (850) 220-6533
Fill in fee simple Title Holder on next page (if different E-Mail ermitting@merakisolutions.com
from the Owner listed above) State or County License CVC57044
-• __.. ..,., ,. ,... -, ---Wow, Q ncrV iIuure yr t ommencemem is requires.
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
Name: See Attached Plans
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Acldress:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:_
Address:
City:_
Zip:
Phone:
"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
improve Zur property. A Notice of Commencement must be recorded in the public records of St.
Lucie C t a Posted on obsite before the first inspection. If you intend to obtain financing, consult
with le r o before 'Wrinmencing work or recording
our Notice of Commencement.
.--
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLOPIDA
COUNTY OF scambia
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 29tWayof June 2021 by
Name of person making statement.
Personally Known OR Produced Identification X
Type of Identification Produced FL Issued Drivers License
(Signature of Notary Public- State of Florida )
Commission No. HH 065789 (Seal) +"" Notary Puelm state of Flonda
Stephanie L King
04
�r My Comm mon HH D65789
aIV Ekwes 11/2212024
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED