HomeMy WebLinkAboutBuildingPermitApplication - 421 SE Tranquilla Ave. Port St. Lucie, FL 34983 - ExecutedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential X
CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 421 SE Tranquilla Ave Port St Lucie FL 34983
Property Tax ID #: 3419-53MO3-000-5 Lot No. 16
Site Plan Name: Wmdman Residence Block No. 33
Project Name: Wildman Residence Solar
DETAILED DESCRIPTION OF WORK: I
Rooftop PV Installation
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
Gas Piping
Sprinklers
Shutters
(Affidavit required)
Windows/Doors _ Pond
Generator Roof Pitch
Total Sq. Ft of Construction: 700 Sq. Ft. of First Floor: 1817
Cost of Construction: $ 0 3- Do Utilities: —Sewer —Septic Building Height: 1 Story
OWNER/LESSEE:
CONTRACTOR:
Name Rudolph & Alberta Widman
Name: Chinwike Eddie -Brown Ayoghu
Address:421 SE. Tranquilla Ave.
Company: Meraki Design & Construction, L.L.C.
City: Port St. Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 772-871-6626 E-
Address: 1801 Cedar Drive
City: Coconut Creek State: FL
Zip Code: 33063 Fax:
Phone No 954-993-6757
Mail: rudy.302
_gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail eddieCcDmerakidesignconstruction.com _
State or County License CVC 57098
If value of construction is 2500 or more, a RECORDED Notice of commencement is requires.
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
Name: _
Address:
City:
Zip:
Pho
State
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: _Not Applicable
Name: _
Address:
City:
Zip:
Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK ano insiaiiauon d5 inuiLdLcu.
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
..,;+k 1 A r.r on n++nrnov hafnra rnmmpnrina wnrk or rerordinE vour Notice of Commencement.
VV ILII IcplluCi VI QII U-11—
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF o i c,-2 -A
Sworn to (or affirmed) and subscribed before me of ✓ Physical Presence or Online Notarization
thhiiiss 1 D day of *e_4� v. , 20 Ll by
^;
`
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification Produced 4�!'L_
(Signature of Notary Public- State of Florida)
ERICKA SANCHEZ
41* 10%LAZ3 ,g`.a `B<<';Notary Public -State of Florida
Commission No. (Seal)
= Commission # HH 108423
=
My Commission Expires
March 23, 2025
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Rev 5/20/21