HomeMy WebLinkAboutBuilding Permit Aplication Gibson ArvertAll APPLICABLE INFO MUST BE COMPLETED FOR aPFtIcAnoN TO BE ACCEPTED
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Auenue, Fort Pierre FL 34982
Phone: (772) 462-1553 Fax: (772) 462-157$
PERMIT APPLICATION FOR:
Commercial Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 5500 HICKORY DR Fort Pierce, FL 34982
Property Tax ID #: 3402-609-0226-000-2 . _..�_ e
Site Plan Name: I N DIAN RIVER ESTATES-UNIT-OS- BLK 58 LOT 8 (MAP 34/11 N)
Project Name: Arvert Gibson
DETAILED DESCRIPTION OF WORK:
Installation of Roof Mounted PV Solar System
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional worst to be performed under this permit— check all that apply:
Mechanical
Ga s Ta n
wL irv.
Bock No. 58
_ Gas Piping _Shutters .. Windows/Doors i Pond
i,/flectric � Plumbing _Sprinklers _Generator Roof Pitch
Taal Sq. Ft of Construction: 550.20 SQ FT
--"Mft
Cost of Construction: $ 36,6 9 3•00
..
. Ft. of First Floor:
Utlli lei -,,,,,.Sewer Septic Building Height,-
�1NNER/LE55EE:
CONTRACTOR:
Name Arvet Gibson
Marne: Greg Albright Ec 130060M ccc 1332814
Address: 5509 HickoryDR
Company: Freedom Forever FL, LLC
City: Fort Pierre State: F L
Address: 3590 NW 54th St Suite #3
Zip code: 34982 pax:
.....Fort Lauderdale State: F L
Pone No. (5fi1)5D3-5734
Z-f p Code: 33309 fax:
E-mail: tammisenal ayahoo.com
Phone No (476)301-1674
Fill in fie simple Title Holder an next page (if different
E-Mail Perm itsla u derd alea�#reedomforever.Com
from the Owner listed above)
State or County license Florida
If value of construction Is 25W or more., a RECORDED Notice of Commencement Is required.
If value of HAVC Ls $71,500r more,, a RECORDED Notice of Commencement I r u#red.
N
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
None:
Address.
City: State:
Zip* Phone
FEE SIMPLE TITLE HOLDER : _Not Applicable
Name:
Address:,
MORTGAGE COMPANY: _Not Applicable
Name:.
Address:
City: State;
ZIP: Phone:
BONDING COMPANY: Nat ►Applicable
Name:
Address:
City: city*
Zip-. Phone: zip: Phone*
OWN ER/ COIT: Application is hereby made to obtain a permit to do the work and installation a indicated.
1 certify that no work or installation has commenced Prior to the issuance of a permit.
t. Lucie Count makes no re presentatton that is granting a permpermft will authorize the ermit holder to build the subject structure
which is in contiict with any applicable Home Owners Association ru 1e , bylaws or anscovenants that may restrict or prohibit such
structure, Please consult mth 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 1 will, In all respects, perform the work
in accordance with the approved Plans, the Florida Building Codes and St Lucie County Amendments.
The f olloW ng bu 11di ng permit applications are exempt from undergoing a full concurr n review: room additions,
accessory structures, swimming pools, fences, galls, 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 propB
rty. A Nvtice of Commencement must be recorded in the public records of St.
Lucie County and pasted ohe jabsite before the first inspection, If you in#end tv on financing, consult
with lender or an�alltornevfore commencing work or recording your Nome of CQ*encement.
Signature of owner/ Les Ve/Co n*a 4o r as Agent for dv►mer I Signature of Contractor/Likose HoJdJr
COUNTYOF�FLORIDASTATE OF �W0..TA...
FLORIDA,,,, lCOUNTY OFmd�
Sworn to or affirmed) and subscribed before me of
wo Physical Presence or Online Notarization
this day of 2020 b
Name of person making statement.
Personally Known I/
Type of Id i cation
Produce t ,
OR Produced Identification
Sworn t (or affi rm ed) a rid subscri bed before nn a of
1 Physical Presence or online Notarization
this � day of by
x S (-I" 5L,�-
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Name of person making statement.
Personally
Type of I de n
Produced
own - &/* MUM
A cation
OR Produced Identification
(Signature�F*-�����tate of Florida j I (Signature of Notary Pu rc� a e of Florida )
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Commission No.
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