HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONNFO
All APPLICA LE MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- 1 I
QN
- ' T"— Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Iirglnlo Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 8006 James RD Fort Pierce, FL 34951
Property Tax ID tf: 1301-603-0031-000.4 Lot No. 1
Site Plan Name: Block No. 18
Project Name: NAGY RESIDENCE
DETAILED DESCRIPTION OF WORK:
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:
-�1nn
Cost of Construction: $ Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Julius G Nagy Jr, Linda D Nagy Name:MICHAEL VERGONA
Address:8006 James RD Company:URBAN SOLAR GROUP
City: FORT PIERCE State: FL Address: 990 S ROGERS CIR STE 4
Zip Code: 34951 Fax: City: BOCA RATON State: FL
Phone No. 5616092664 Zip Code: 33487 Fax:
E-Mail: PERMITTINGCcDURBANSOLAR.COM Phone No 5616092664
Fill in fee simple Title Holder on next page ( if different 11 E-Mail PERMITTING(dURBANSOLAR.COM
from the Owner listed above) State or County License CVC56948
i
If value of construction is no—o 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:
DESIGNER/ENGINEER: _X Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: _— — State: _
City: _-- — —State:
Zip. -- Phone_------_
Zip: — Phone:--- —__
FEE SIMPLE TITLE HOLDER: _X_ Not Applicable
BONDING COMPANY: X 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 Issuanceof 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 reviewyour deed for any restrictions which may apply.
In consideration of thegranting 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 attorne before commencin work or recording our Notice of Commencement.
Signature o Owner/ Lessee/Contractor as Agent for Owner
STATE O
STATE OF FLORIDA n I Q I_
O F_� wlpV� l" --
Sworn to (or affiryy��ed) an subscribed before me of Physical Presence or _ Online Notarization
this�dayof UI1Jg0 20.?J_ by
MICHAEL VERGONA
Name of person making statement.
Personally Known W OR Produced Identification
Type of Identification P o4uced
(Signature of No u lic- State of Florida )
•Q� +o ...,. CORRIE RNETTE
Commission No. (Seal) MV COMMISSIONNHH 146487
•,ib,' EXPIRES: Juno 28• 2025
V'�Eoii��.�•• Bonded Tlyyhloftry Pubro UndC(•MIIBR
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