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BUILDING PERMIT APPLICATION
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 07/14/2021 Permit Number: 1 yy 044 ©4 ° to �` 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: Roof Mounted Solar PV System PROPOSED IMPROVEMENT LOCATION: Address: 196 NE Bracken Rd Port Saint Lucie, FL 34983 Property Tax ID#: 3419-570-0035-000-1 Lot No.7 Site Plan Name: RIVER PARK-UNIT9-PARTC Block No. 75 Project Name: Collyn Orr DETAILED DESCRIPTION OF WORK; Install 5.95kW Roof mounted Solar PV System New Electrical Meter N/A Second Electrical Meter N/A 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: 2248 Sq. Ft. of First Floor: 1418 Cost of Construction:$ 25400.87 Utilities: —Sewer Septic Building Height: 14' OWNER/LESSEE: CONTRACTOR: Name Collyn Orr Name:Gyula Fisli Address: 196 NE Bracken Rd Company:Sunectric Solar, LLC City: Port Saint Lucie State: FL Address:301 Yamato Road Suite 1240 Zip Code: 34983 Fax: City: Boca Raton State:FL Phone No.(786)487-7431 Zip Code: 33431 Fax: E-Mail:collynorr7@ gmail.com Phone No 561-208-5579 Fill in fee simple Title Holder on next page(if different E-Mail admin@ sunectricsolar.com from the Owner listed above) State or County License CVC57107 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- DESIGN ER/ENG I NEER: Not Applicable MORTGAGE COMPANY: _N/A Not Applicable Name:Klmandy Lawrence Name:___ Address:5700 Lake Worth Rd.Suite 211 Address: City: Greenacres _ --State: FL_ City:_ State: Zip: 33463 Phone(561)444-8192 Zip:____ Phone: FEE SIMPLE TITLE HOLDER: N/A Not Applicable BONDING COMPANY: N/A 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 oran attorney before commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF `'-" AZ_kN _ COUNTY OF Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization ePhysical Presence or Online Notarization this 14 day of JUI,.I' ,206 by this N day of JU -( 20Zeby —I LA .._A 17191-1 Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification r/ Type of Identificztion Type of Identification Produced E>C- Produced 7 i--DL— (Signature of Notary P b ic-State of Florida ) (Signature of Notary P li aof F "'""'' Il� I �O REKASI ♦"NYP I1QD REKASI Commission No. 'os��YP9l- Notary` u c-State of Florida Commission No. .'o`p s="NotarylP&10E-State of Florida Commission N GG 973600 " •= Commission # GG 973600 m t st n Ex Tres """`� Marc 26, 2024 March 26, 2024 REVIEWS FR JPLANS VEGETATI COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20 Sunectric Solar 301 Yamato Road Suite 1240 Boca Raton FL 33431 Florida License:#CVC57107 (561)208-5579 #EC13005991 admin@sunectricsolar.com LIMITED POWER OF ATTORNEY PERMITTING AUTHORIZATION FORM I,Collyn Orr OWNER OF THE PROPERTY LOCATED AT ADDRESS: 196 NE Bracken Rd Port Saint Lucie, FL 34983 DO HEREBY AUTHORIZE THE PERMITTING DEPARTMENT OF SUNECTRIC SOLAR, LLC, (GYULA FISLI)TO SIGN AND APPLY FOR A BUILDING PERMIT ON MY BEHALF.THIS AUTHORIZATION IS VALID ONLY FOR THE PURPOSE OF OBTAINING A PERMIT TO PERFORM THE SOLAR INSTALLATION WORK CONTRACTED FOR BY AND BETWEEN OWNER AND SUNECTRIC SOLAR, LLC.THE ONLY PERMIT(S)WHICH MAY BE APPLIED FOR UNDER THE TERMS OF THIS LETTER ARE THOSE WHICH THE AUTHORITY HAVING JURIDISCTION (CITY OR COUNTY)DEEM(S) NECESSARY UNDER THE CURRENT FLORIDA BUILDING CODE,GIVEN THE SCOPE OF WORK CONTRACT FOR. SUNECTRIC SOLAR, LLC WILL BE RESPONSIBLE FOR ANY AND ALL FEE ASSOCIATED WITH THIS PERMIT APPLICATION.THE AUTHORIZATION WILL REMAIN VALID UNTIL SUCH PERMIT(S) IS/ARE ISSUED BY THE RESPECTIVE BUILDING DEPARTMENT, OR UNTIL ONE HUNDRED AND TWENTY(120)CALENDAR DAYS FROM THE DATE LISTED BELOW HAVE TRANSPIRED,WHICHEVER IS LESS. F f Collyn Or �"7 I q i HOMEOWNERS IGNATURE PRINTED NAME DATE (Signature of Notary Public) (Print,Type,or Stamp Commissioned Name of Notary Public) w P�, ILDIKO REKASI k-EA e_,D V_C�� � `2otP 9t ,Notary Public-State of Florida __. Commission # GG 973600 (Print name of Notary Public) P My Commission Expires March 26. 2024 State of Florida County of �- . Sworn and subscribed before me this J4 day, of J,iL 20 :�-1 and [ ] is personally known or [v]produced 'L DL_ as identification. 1