HomeMy WebLinkAboutBUILDING PERMIT APPLICAIONAll APPLICAB E II FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
s-
' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Wrglnla Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
X
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7106 DELAND AVE, FORT PIERCE, FL 34951
Property Tax ID #: 1301-612.0185-000.6 Lot No.
Site Plan Name: Block No.
Project Name: PETERS RESIDENCE
DETAILED DESCRIPTION OF WORK: I
INSTALLATION OF SOLAR PV SYSTEM TO ROOFTOP
New Electrical Meter Second Electrical Meter (Affidavit required)
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
Total Sq. Ft of Construction`:, Sq. Ft. of First Floor:
Cost of Construction:$ �� 8�0.� Utilities: _Sevver _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameCHRISTOPHER P PETERS; JAIME L PETERS
Name: MICHAEL VERGONA
Address: 7106 DELAND AVE
Company: URBAN SOLAR GROUP
City FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 5616092664
Address: 990 S. ROGERS CIR., STE 4
City: BOCA RATON State: FL
Zip Code: 33487 Fax:
Phone No 5616092664
E-Mail: PERMITTING@URBANSOLAR.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail PERMITTING@URBANSOLAR.COM
State or County License CVC56984
n vdiwe 01 conumuion is z2w or more, a rttLuKutu notice ar commencement Is requlrea.
11 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: -------- —
MORTGAGE COMPANY: — Not Applicable
Name:
Address:
------------
Address:
City: _ _ — State: —
Zip: _--- Phone_---- _
City: __ __—State:
Zip: — Phone:— —
FEE SIMPLE TITLEHOLDER: __ Not Applicable
Name:
BONDING COMPANY: __Not Applicable
Name:
_
Address:
Address:
_
City:
City:
—__ ----_
Zip: --_ Phor) e:_-----
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Appllcatlon Is hereby made to obtain a permit to do the work and Installation as Indicated.
I certify that no work or Instal latIon has commenced prior to the Issuance of a permit.
St. Lucie Count 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 AssoclatIon rules, bylaws or and covenants that may restrlctor prohibit such
structure. Please consult with your Home Owners Assoclatlon and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit, I do hereby agree that I will, Inall respects, perform the work
In accordance with the approved plans, the Florida BulIding 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-resldent lal 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 attomev before commencing work or recording vour Notice of Commencement.
49�4 - -
Signature of ner/ Lessee Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sworn to (or afflr dj and bscdbed before me of
thls�dayof r 20e1_l by
MICHAEL VERGONA
V Physical Presence or Online Notarization
Name of person making statement.
CORRIE RNETTE
Personally Known r OR Produced Identification `• My COMMISSION#HH 146487
Type ofldentific� ?
Produced, •a< EXPIRES: June 28,2025
:anoP Bow Tt" Notary PuGfc Uiderm8ert
(Signature of NotNry Public- State of Florida )
Commission No.441H&q�+ (Seal)
REVIEWS FRONT ZONING
COUNTER I REVIEW
RECEIVED
SREVIEWOR I REVIEW PLANS I VEGETATIEVIEWON I SE EVIEWLE I M EVIWVE