HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/15/2021 Permit Number:
S i L U LLB
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'- 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: Installation of roof mounted PV Solar Panel System
PROPOSED IMPROVEMENT LOCATION: 6505 Santa Clara BLVD
Address: 6505 Santa Clara BLVD Fort Pierce, FL 34951
Property Tax ID #: 1301-611-0371-000-4 Lot No. 18
Site Plan Name: April D Hunt Block No. 117
Project Name: April D Hunt
DETAILED DESCRIPTION OF WORK: f
Installation of roof mounted PV Solar Panel System
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 Windows/Doors Pond
✓ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 29,574.72 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR: Greg Albright
Name April D Hunt Name: Greg Albright
Address: 6505 Santa Clara BLVD Company: Freedom Forever Florida, LLC
City: Fort Pierce State: Address: 3590 NW 54 St Ste
Zip Code: 34951 Fax' City: Ft Lauderdale State: FL
Phone No. (585) 353-5928 Zip Code: 33309 Fax:
E-Mail: aprilhunt132@outlook.com Phone No 954-310-2730
Fill in fee simple Title Holder on next page ( if different E-Mail permitslauderdale@freedomforever.com
from the Owner listed above) 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:_
Address:
City:
Zip:
Phone
State:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
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 our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner SignaturdVbf CO tractor/License Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
STATE OF FLORIDA
COUNTY OF Br...rd
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this 12 day of Juiv 202 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known x OR Produced Identificat n
Type of Identification Type of Ide tification n
Produced Pro
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(Signature of Notary Public- State of Florida } (Signs ure of Notary Public Sta a U t6rida a N ry
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Commission No. (Seal) Commission No. GG 179973 (Seal) 2 n
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MA i
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW R *W,
DATE
RECEIVED .
DATE
COMPLETED