HomeMy WebLinkAboutPermit Application Nutter SherryAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number.
Building Permit Application
Planning and Development Services _
Building and Code Regulation Division Commercial Residential V
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION: -
Address: 7603 North BLVD Fort Pierce, FL 34951
PropertyTax ID #: 1301-607-0331-000-9 Lot No.27
Site Plan Name: LAKEWOOD PARK -UNIT 7- BLK 82 LOT27 (MAP 13/02N) (OR 3668-584) Block No. 82
Project Name: Nutter Sherry
DETAILED DESCRIPTION OF WORK:
Installation of Roof Mounted PV Solar System
New Electrical Meter Second Electrical Meter (Affidavit required)
Fi
CONSTRUCTION INFORMATION:
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:
Sq. Ft. of First Floor:
Cost of Construction: $ 27 042.04 Utilities:
—Sewer —Septic Building Height:
OWNER/LESSEE:
f
TCONTRACTOR:
f
Name Sherri( Nutter
Name: Greg Albright
Address: 7603 North BLVD
Company: Freedom Eprever FL L
city.Fod-Pierce State: FL
Address: 3590 NW 54th St Suite #3
Zip Code: 34A51 Fax:
city: Fort Lauderdale State: FL
Phone No. (772) 643-6208
E-
Zip Code: 33309 Fax:
Mail: snutter640yahoo.com _
Phone No (951) 988-3982
Fill in fee simple Title Holder on next page (if different
E-Mail Permitslauderdale@freedomforever.com
from the Owner listed above)
State or County License EC 13008056
i
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.
I SUPPLEMENTAL CONSTRUCTION
DESIGNER/ENGINEER: Not Applicable
Name: _
Address:
City:
Zip:
Phone
State
FEE SIMPLE TITLE HOLDER: Not Applicable
LIEN LAW INFORMATION:
MORTGAGE COMPANY: V— Not Applicable
Name:
Address:
City:
Zip:
Phone:
BONDING COMPANY:
State:
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 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 fie jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an aqorney tle4tore co mencing work or recording your Notice of Commencement.
(A --
Signature of Owner/ Les /Contr c or as Agent for Owner
STATE OF FLORIDA
COUNTY OF 1> W Q
Sworn to (or affirmed} n subscribed bef�} r.e me of ✓ Physical Presence or Online Notarization
this 25day of 20 11 by
Greg Albright ���FFF
Name of person making statement.
PersoLenti
n 1/ R Produced Identification
Type on P d ed
(Signat orida)
[wry Public sle6a of Florida
Commis ion No. (Seal) Ann MS
My Cc n nholon HH 122i11
EXPYsa 44rt1 M5
REVIEWS FRONT ZONING SUPERVISOR PLANS I VEGETATION SEA TURTLE MANGROVE
I COUNTER REVIEW I REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED