HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/09/2021 Permit Number:
9m.
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° -- 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:
j PR( POSED tMPROVEME T]LOC kT(ON:
Address: 8400 MUIRFIELD WAY PORT ST LUCIE FL 34986
Property Tax lD #: 3328-802-0038-000-3 Lot No. 248
Site Plan Name: Block No.
Project Name: BARRINGTON CHRISTOPHER
DIET ED.DEWFUMON OF WORK:
ROOF MOUNTED SOLAR PY SYSTEM INSTALL - 8.25 KW
New Electrical Meter Second Electrical Meter (Affidavit required)
C0*fftual llt 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:$ 21,862.50 Utilities: _Sewer _Septic Building Height:
OAfNER
SSM.
CO
,
OR:
Name CHRISTOPHFR RARRINGTON
Name: NORMAN
PURKEY
Address: 8400 MUIRFIFLD WAY
Company:
SOLAR BEAR LLC
City: PORT ST LUCIE State: _EL
Zip Code: 34986 Fax:
Phone No. 954-234-4555
Address: 4091 AMTC CENTER BLVD
City: CLEARWATER
Zip Code:
Phone No_
State: FL
33764 Fax:
727-471-7442
E-Mail: REFCKER(o)AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail IOETOOLIRSOLARREAR.COM
State or County License EC13006630
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.
supp mENTA consmucroDt.um LAW IN
:.
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which Is In confiitt 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 roams 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, consul
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Owner for as Agent for Owner
STATE OF FLORID
COUNTY OF
Sworn to (or affirmed) and subscribed before me of JY Physical Presence or_ Online Notarization
this q day of I I 20JIL by
Nifirne of persorrmaking stat ment.
Personally Known X OR Produced Identification
Type f Identification Produced
(Si atur(of Notary Public- State of Florida)
ommisslon No. !{g6'l40' (Seal)IN
Joseph Tribou
Notary Public, State of Florida
My Commission Expires 12/07/2024
Commission No. HH 69907
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