HomeMy WebLinkAboutWax, Claire_ (B)app_completeAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ____________________ Permit Number: _____________________
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial __________ Residential ___________
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding _________
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: __________________________________________________________________________________________
Property Tax ID #: _________________________________________________________________ Lot No.__________
Site Plan Name: __________________________________________________________________ Block No. _______
Project Name: ______________________________________________________________________________________
DETAILED DESCRIPTION OF WORK:
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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
__ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof __________ Pitch
Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________
Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________
OWNER/LESSEE: CONTRACTOR:
Name__________________________________________
Address: ________________________________________
City: _________________________________ State: ___
Zip Code: ______________ Fax: ____________________
Phone No.______________________________________ E-
Mail:________________________________________
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: ________________________________________
Company: _____________________________________
Address: _______________________________________
City: ______________________________ State: ____
Zip Code: ________________ Fax: __________________
Phone No______________________________________
E-Mail_________________________________________
State or County License___________________________
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.
9/7/2021
x
SOLAR
7507 Coquina Ave Fort Pierce FL 34951
1301-607-0103-000-2
Clair Wax
7507 Coquina Ave -(P-7760)
Installation of (33) roof mounted solar panels. (Supply Side Tap)
595.98
47,400.00
Clair Wax
7507 Coquina Ave
Fort Pierce FL
34951
7723536018
craighorses2394@aol.com
Steven Peebles
Meraki Installers
21 N New Warrington Rd
Pensacola FL
32506
850-378-1257
permitting@merakisolutions.com
CVC57044
Name: _________________ _ N ame: ________________ _ Address: Address: -----------------------------------City: ____________ State:City: _____________ State:
Zip: _____ Phone: __________ _ Zip: _____ Phone _________ _
FEE SIMPLE TITLE HOLDER: �ot Applicable BONDING COMPANY: �ot Applicable
Name:
Addres-s: _____
_
_____
____
_Name: ________________ _ 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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Homeowners 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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult . h I d b f . k d. N . f C Wit en er or an attornev e ore commencme wor or recor me vour otIce o ommencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORl�A
COUNTY OF scambia
_•_ Physical Presenceo r __ Online Notarization Sworn to (or affirmed) and subscribed before me of
,20ll_by this day of September
Johnathan Hale
Name of person making statement.
Pe rsonally Known OR Produced Identification
Type of Identification Produced Fl Issued Drivers licen� ��#a/4
(Sign.atJre of Notary Public-State of Florida)
Commission No. HH157803 (Seal) '"ii..' Nota,y Public State of Florida • • Johnathan E Hale ,,_ -,/ My Commission HH 157803 -...,,. Exp. 7126/2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED ev "''-v/n
MANGROVE REVIEW
x
7th