HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
0
2 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:
PROPOSED IMPROVEMENT LOCATION:
Address: 2801 S. Brocksmith Road Fort Pierce, FL 34945
Property Tax ID #: 2320-501-0041-010-9
Site Plan Name:
Project Name: Garcia
DETAILED DESCRIPTION OF WORK:
Solar Pool Heating System
New Electrical Meter Second Electrical
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
Electric _Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4,000.00
_ Generator
Sq. Ft. of First Floor:
Lot No. 10
Block No.
-Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cynthia A. Garcia
Name: Erik F. DeLaney
Address:2801 S. Brocksmith Road
Company: Climatic Solar Corporation
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.916-494-9049
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No 772-567-3104
E-Mail: swtbrzgr@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail sales@Gimaticsolar.com
State or County License CVC56671
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
If value of HAVC is 57,500 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: 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 postjZd on the job " e before the first inspection. If you intend to obtain financing, consult
with lender or an attov htformencing work or recording your Notice otrComrpencpnt.
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Signat ee w er/ e C t acto as Agent for Owner
Signature C r
STATE OF FLORIDA
STATE OF FLORIDA
CO U NTY O F Indian Rive,
COUNTY OF- Indian R
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
X Physical Presence or Online Notarization
_
this 19 dayofof ftLAJC1J 2024 by
this A_q_ day of/� AC— 2024 by
Name of person making statement. I
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification Habigh Dw
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