HomeMy WebLinkAbout179 SE Placita CT - Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: }� Permit Number:
Solar
p Building Permit Application Local Experts who Care
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: SOLAR
PROPOSED IMPROVEMENT LOCATION:
Address: 179 SE Placita CT, Port St Lucie, FL 34983
Property Tax ID #: 3419-550-0136-000-7 Lot No. 13
Site Plan Name: Block No. 71
Project Name:
DETAILED DESCRIPTION OF WORK:
ROOF MOUNTED SOLAR PANEL INSTALL
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
(Affidavit required)
Generator
Sq. Ft. of First Floor:
_ Windows/Doors _ Pond
Roof Pitch
36,597 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: ,
CONTRACTOR:
Name Brittany Adorno
Name: Seann Gates
Address:179 SE Placita CT
company: US Solar
city: Port St Lucie State: FL
Zip code: _34983 Fax:
Phone No. (772) 777-0533 E-
Address: 2732 Broadway Center BLVD
city: Brandon State: FL
zip code: 33510 Fax:
Phone No 800-351-3430
mail:-adornobritt@icloud.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail vdelrio@joinussolar.com
State or County License CVC57002
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.
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 conflicts with an� applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consul t 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
with lender or an attornev before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Sworn to (or affirmed) and subscribed before me of Physical Presence or Online
Notarization
this 1 5th day of October 2021 by
Seann Gates
Name of person making statement.
Personally Known OR Produced Identification
Solar
Type of Iden ' ' ation Pr ced D
Local Experts who Care
(S' ature o ry Public- State of Florida)
Commission No. GG959064 (Seal) ;` �r��n�'y NotaryJASOubllic-St: s off Flo da
+ •e Commission M GG 959064
�`��c' My Commission Expires
trill February 17, 2024
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