HomeMy WebLinkAboutBuilding Permit Application - IaniaAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _9410 e3-f Permit Number:
O
° ° .I D � 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 IMPROW ►ENT LOCATION:.
Address: 632 W WEATHERBEE RD FORT PIERCE FL 34982
Property Tax ID #: 2434-334-0005-000-0 Lot No.
Site Plan Name: Block No.
Project Name: MICHELLE IANIA
X0 4ESC.RIPT10M of WORK:
MOUNTED SOLAR PV SYSTEM INSTALLATION - 11.52
New Electrical Meter Second Electrical Meter
(Affidavit required)
coNSTRucrKm,y4Ft' RmATnoN- {
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:
Cost of Construction: $ 30,528.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
oWt R/U% E:
; NT
gt'OR:
Name
Name: NORMAN
E PURKEY
Address:
Company: SOLAR BEAR LLC
City: State:_
Zip Code: Fax:
Phone No.
Address:4091 AMTC CENTER DR
City: CL ARWATER State: FL
Zip Code: 33764 Fax:
Phone No 727-471-7442
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail JOETC OURSOLARBEAR.COM
State or County LicenseEC13006630
IT value or construction is zeuu or more, a ntwnutu Notice of commencement is required.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement is required.
SUP.Pt,f~WNTAL CONSTRUCTION LO LAW ItYF
MA
ff3N:
DESIGNER/ENGINEER: _Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_/Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
With lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Ownerttessee72ortt Actor as Agent for Owner
STATE OF FLORIQi c��ae COUNTY OF C
Sworn to (or affirme ) and su cribed before me of Physical Presence or —Online Notarization
this /0 day of 202,1 by
A
person
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Notary Public- State
Commission No. 4W 1a990a (Seal)
REVIEWS FRONT ZONING
COUNTER I REVIEW
COM
Joseph Tribou
Notary Public, State of Florida
My Commission Expires 12/07/21
Commission No. HH 69907
SUPERVISOR
PLANS J I REVIEW I VEGETATIONS REVIEW LE I MANGROVE
REVIEW