HomeMy WebLinkAboutShamel Lewis Permit ApplicationAIIAPPLICABLE INFO MUST BE COMPTETED FOR APPLICATION TO BE ACCEPTED
Date: 811912021 Permit Number
Lucur!-"
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: 1772) 462-1553 Fax: {772l, 462-7578
Address: 140 NE Lobster Rd Port St Lucie, FL 34983
Building Permit Application
Commercial
t:C j l::f
Residential x
CBDG Funding
PERM IT APPLICATION FOR:
LOCATION::l
Property Tax lD #: 3419-560-0010-000-9 Lot No. 10
Block No. 73Site Plan Name: ShamelLewis
Shamel Lewis
DETAILED DESCRIPTION OF WORK:
Insta|lation of Photo voltqlgpqlalpa4elq o1ryqJlpp E lqCta[lew teplql
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION I NFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
PitchX Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction Sq. Ft. of First Floor:
Cost of Construction: S $31,552.00 Utilities: _ Sewer _ Septic Building Height:
CONTRACTOR:
Name: Cameron Christensen
Company:Momentum Solar
Address: 6210 Hoffner Ave Ste 100
City:Orlando
7ip Code: 32922 Fax:
Phone No 321-247-6073
E-Mail flpermits@momentumsolar.com
State or County License
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
lf value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Port St. Lucie State: FL
Fax:
ff permits@momentumsolar. com
Na
34983
E-
Mail
City:
321-247-8073
Shamel Lewis
Address: 140 NE LobsterRd
Zip Code:
Phone No
cvcs7036
State: FL
Project Name:
_ Not Applicable
Hillsborough
08844 Phon c 551-689-5068
City:
zip:
State: NJ
Address: 2 Starview Dr
Name: lvlina Makar
DESIGNE NEER:MORTGAGE COMPANY:
Name:
X Not Applicable
Phone:
State
zip
City:
Address:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
zip:
City:
Address
Phone
BONDING COMPANY:
Name:
X Not Applicable
zip:
City:
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 Countv makes no representation that is srantins a permit will authorize the permit holder to build the subiect structure
which conflicts with anv applicable Homeowners-Associa-tioh rules, bvlaws or and covenants that mav restrict or pr6hibit such
structure. Please consult with your Homeowners Association and ieview your deed for any restrictions which may apply.
ln 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
with lender or an
posted on the jobsite before the first i
before commencin work or
u intend to obtain financing, consult
Notice of Commencement.
lf yo
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of X Physical Presence or
-
Online Notarization
this 19 day of Auoust 2O21_by
( q p:.<-re t.1 g)r-in$rtc-{1S efr
Name of person making statement.
Personally Known X OR Produced ldentification
of ldentification Froduced
of Notary Public-Florida)
commission No. t r{I ('i-'} - l t$,tuu',
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+"..".,^.,aN-Ui.ffi"
KRISTINA$ALGADO
Commission # GG 972215
Expires July 21, 2024
Bondrd Ihru BudgetNohry Seoicos
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