HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
O -
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 PANELS INSTALLATION
PROPOSED IMPROVEMENT LOCATION:
4801 Silver Oak DR
Address: Fort Pierce FL 34982
Property Tax ID#: 3402-606-0192-000-5 Lot No. 37
Douglas Laboy
Site Plan Name: Alexandra Laboy Block No. 26
Project Name: Alexandra Laboy_ SOLAR PANELS
DETAILED DESCRIPTION OF WORK: 1.
9.45KW PV SOLAR PANEL INSTALLATION ROOF MOUNTED
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
X Electric Plumbing _Sprinklers Generator _Roof Pitch
SOLAR
Total Sq. Ft of Construction: 562.50 Sq. Ft. of First Floor:
Cost of Construction:$ $37,910 Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Alexandra Laboy Name: MICHAEL C. PASTERNAK
Address: 4801 Silver Oak Dr Fort Pierce, FL 34982 Company: ATLANTIC KEY ENERGY LLC
City: State:_ Address:7006 Stapoint Ct. Ste. B, Winter-Park, FL 32792
Zip Code: Fax: City: State:
Phone No. (850) 533-0019 Zip Code: Fax:
E-Mail: crazyalexaVip(cb-hotmall.Com Phone No 407-819-4000
Fill in fee simple Title Holder on next page(if different E-Mail PERM ITTING(aD_ATLANTICKEYENERGY.COM
from the Owner listed above) State or County License EC13009713
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
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 tice of Commencement.
��AsAqA 6%% "Ya2.4 — --A I �
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF FLORIDA COUNTY OF FLORIDA
Sworn to(or affirmed) and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization _X Physical Presence or Online Notarization
this 16day of J U LY 202V by this 16 day of J U LY ,2020 by
DOUGLAS LABOY MICHAEL C. PASTERNAK
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification_X Personally Known X OR Produced Identification
Type of Identification Type of Identification
Produce FL ID Produced
(SinNotary Public-State ridah CRYBTKiPw (Signature otary Public-State of LLcrida Jr K
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Commission No. ' osentK16,= Commission No. 1802M6/3
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20
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