HomeMy WebLinkAboutAndrew BoulayPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential I/
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: IU03 Citrus Park Blvd Ft. Pierce FL 34951
Property Tax ID #: 1301-611-0020-000-9
Site Plan Name:
Project Name: Boulay
DETAILED DESCRIPTION OF WORK:
install 21.420 kW roof mounted solar system
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Lot No.20 & 21
Block No.
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
Total Sq. Ft of Construction:
Cost of Construction: $ 30, 387
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAndrew & Natalie Boulay
Name: Michael Potts
Address: 7003 Citrus Park Blvd
Company:_ Sea Turtle Solar Systems LLC
city: Ft. Pierce state: FL
Zip Code: 34951 Fax:
Phone No. (772) 579-1736
Address: 2504 Tamarind Dr
city: Hutchinson Island State: FL
Zip Code: 34949 Fax:
Phone No 727-375-9375
E-Mail: Andrew Boulay@Outlook.com
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
If WMI.— of :_'2rnn
E-Mail permittinq(d�sunergyfl.com
State or County License EC13006926
--- -- —. ..•—•--i ••—��•.•+�.+ gwuw v1 Is requirea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
_
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
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 posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commonriner work or recording our Notice of Commencement.
Signa ure of Owner/ Lessee/Co tractor as Agent for Owner
STATE OF FLORI.
COUNTY OF �j
Sworn affir d) and subscri ed before me of Physical Presence or Online Notarization
this
ay of 0 by
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Name of person makin statement.
Personally Known OR Produced Identification =p00poB,�c RHONDA B. BROWNING
Type of Iden�tificatio Produce Commission# HH 117429
N� ar Expires June 1, 2025
j" 9TFOF"6- Bonded Thru Budget NotarySeNim
(Si e o ary ublic- tate of Florida
Commission No. I I 7L " (Seal)
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