HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Lo LSI:.i�l11S R
L,
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPMED WRt3MI+A NT LOCATOW -
Residential X
Address: 121 RIO MAR DR PORTSAINT LUCIE, FL 34952
PropertyTax ID #: 3419-515-0121-100-1 Lot No.16
Site Plan Name: Block No. 24
Project Name: MCDANIEL, LOGAN
:R{PTi 1 4 OF,WORK:
ED SOLAR PV SYSTEM INSTALLATION - 11.52 KW
New Electrical Meter Second Electrical Meter (Affidavit required)
COS{S`T'€tt#Cflt>K ITOt RWTM: a
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters —Windows/Doors _ Pond
❑✓ Electric —Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 30,528.00 Utilities: —Sewer _Septic Building Height:
OtAfA�ER(LESS�E:
Name_ LOGAN MCDANIEL
Name: NORMAN E PURKEY
Address: 121 RIOMAR DR
Company: SOLAR BEAR LLC
City: PORT SAINT LUCIE State: FL
Zip Code: 34952 Fax:
Phone No. (303) 803-6407
Address:_4091 AMTC CENTER DR
City:CLEARWATER State: FL
Zip Code: 33764 Fax:
Phone No 727-471-7442
E-Mail: mcdaniel.logan@ gmail.com
Fill in fee simple Title Holder on next page ( If different
from the owner listed above)
E-Mail JOET@ OURSOLARBEAR. 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.
S IPP-LEMENTAL CONSTRUCTION LIEN LAW INEQRMA'Ff1*.
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 installatlon 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 concurrencyreview: 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 attorney before commencine work or recordine vour Notice of Commencement.
A- E ;2
Signature of Owner/ for as Agent for Owner
STATE OF FLORIDA
COUNTY OF {�waLOiw
sworn to (or affirm d) and sLibscribed before me of _✓Physical Presence or _Online Notarization
thi45 day of4941 20,,W by
Name or person Tr
Personally Known
Type of ldentifigt
REVIEWS
RECEIVED
OR Produced Identification
Public -
No. lilt 4" F7
COMPLETED
of
(Seal) � My
otary Commission xpire of Florida
No.HH1 9902C
CO NITER I ZONING REVIEW SUPERVISOREVIEW R I REVIEW PLANS I VEGETATIEVIEWON I SEATURTREV EWLE I M EVIEWVE