HomeMy WebLinkAboutPermit Application - Bogan All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7120121 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential S-'
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMITAPPLICATION FOR:
Address: 6724 Tulipan Fort Pierce, FL34951
Property Tax ID#: 1306-500-0274-000-8 Lot No.21
Site Plan Name: Block No. 54
Project Name: BOGAN, KENNETH
i
ROOF MOUNTED SOLAR PVSYSTEMINSTALLAT ION-5,76 KW
New Electrical Meter Second Electrical Meter
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: $ 15,264.00 Utilities: _Sewer _Septic Building Height:
Name KENNETH BOGAN Name:NORMAN E. PURKEY
Address:6724TULIPAN Company:SOLAR BEAR LLC
City: FORTMERCE State: FL Address:6101 JOHNS RD,SUITEB
Zip Cade: 34951 Fax: City: TAMPA State:FL
Phone No.(650)576-8278 Zip Cade: 33634 Fax:
E-Mail:KENBOGANG SBCGLOBAL.NET Phone No 727-471-7442
Fill In fee simple Title Holder on next page(If different E-Mail JOET@ OURSOLARBEAR.COM
from the Owner listed above) State or County License EC13006630
If value of construction is 2500 or more,a RECORDED Notice of Commencement Is required.
If valueof HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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 attorneybefore commencingwork or record in our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of CcnVT1!WrJ1M€flSp Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OFHicrsaoaoucN
Sworn to(or affirmed)and subscribed before me of Swam to(or affirmed)and subscribed before me of
_Physical Presence or—Online Notarization ✓ Physical Presence or Online Notarization
this_day of 2020 by thisZAAQdayof f&V 2020 by
PAA-y l00l 6Zir g y
Name of person making statement. Name of person making statemen .
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produce Joseph Tdbou
Notary Public,State of FI
(Signature of Notary Public-State of Florida) ( ig ture o ota P blic-St f FI 24
ry oQdxt}nission No. HH 699 7
Commission No. (Seal) Commission No. 0 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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