HomeMy WebLinkAboutBuilding Permit ApplicationAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number
Building Permit Application
Planning ond Development Services
Building and Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL i4982
Phone: (7121462-1553 Fax: (772) 462-1,578
Commercial Residential x
CBDG Funding
PERMIT APPLICATION FOR
PROPOSED I MPROVEMENT LOCATION :
Address: 2809 Placid Ave Ft Pierce Ft 34982
Property Tax lD #:2421-606-0002-000-3 Lot No. 2
Site Plan Name: Robert McClellan Block No.
Project Name Robe( McClellan
DETAILED DESCRIPTION OF WORK
lnstallation of photo voltaic solar panels on rooftop
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION I NFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
PitchX Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction Sq. Ft. of First Floor
Cost of Construction: S 40,284.00 Utilities: _ Sewer _ Septic Building Height:
lf value of construction is 2500 or more, a RECORDED Notice of Commencement is required
lf value of HAVC is 57,500 or more, a RECORDED Notice of Commencement is required.
OWNER/LESSEE:CONTRACTOR
Name Robert McClellan
Address: 2809 Placid Ave
City Fort Pierce State: FL
zip Code: 34982 Fax:
Phone No. 321-247-6073 E
Mail : flpermits@momentumsolar.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Cameron Christensen
Company:
Address:
Momentum Solar
6210 HoffnerAve Ste 100
City Orlando
Zip Code:
Phone No
E-Mail
32822 Fax:
321-247-6073
fl permits@momentu msolar.com
State or County License cvc57036
State: FL
SU STRUCTION LANTALW FOIN TRMA ONPELEMCONN
MORTGAGE COMPANY:
Name:
x Not Applicable
StateCity
zip
Add ress
Phone:
DESIGNER/ENGINEER:
Name: Mina Makar
_ Not Applicable
Zip: oaqq
Hillsborowh State: NJ
Phone 551-689-5068
Address: 2 Starview Dr
City
zip
Address
Phone
FEE S!MPLE TITLE HOLDER:
Name:
X Not Applicable
zip
City:
Address:
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 Countv makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with anv aoolicable Homeowners Association rules, bVlaws or and covenants that may restrlct or prohlblt such
structure. Please consult with your Homeowners Association and review your deed for any restrictions which may apply.
ln 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 pub
in fi
lic records of St.
Lucie County an d posted on the jo bsite before the first inspection. lf you intend to obta nancing, consult
with lender or an attor before commencin work or recordin r Notice of Commencement(rt
X Physical Presence or _ Online Notarization
rida)
(Seal)
)
*".hruu**
xffi#-s
Signature of Owner/ Les see/Contractor as Agent for Owner
ignature of Notary Pu blic-
Cameron Christensen
Commission 116. GG972215 KRISTINA SALCAi]C
Commission # GG 9722 i 5
Expires July 21, 2024
Bonded Thru Budget Notal Servi€3
Sworn to (or affirmed) and subscribed before me of
this 1 1 day of October ,2A 21 by
Name of person making statement.
Personally Known X OR Produced ldentification
Tvoe of ldentification Produced
STATE OF FLORIDA
COUNTY OF St Lucie
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
City:
BONDING COMPANY: x Not Applicable
Name: