HomeMy WebLinkAboutHolloway - Permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/25/2021 Permit Number:
4v
Building Permit Application
Planning and Development Services
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:
Solar
PROPOSED IMPROVEMENT LOCATION:
Huuress: oavu udmanD Lalce clrcie Fort Pierce, FL 34951
Property Tax ID N: 1311-800-0036-000-5 Lot No. 21
Site Plan Name: Block No.
Project Name: Holloway - Solar
DETAILED DESCRIPTION OF WORK:
Install 11.40kW PV solar system on roof
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
%f Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 588.9 Sq. Ft. of First Floor:
Cost of Construction:$ 41.040 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJennifer Hollowav
Name: Brian Miller
Address: 5290 Oakland Lake Cir
Company: Professional Electrical Services Inc
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 984-316-2599 E-
Address: 290 Soringview Commerce Dr. Suite 3
City: Debary State: FL
Zip Code: 32713 Fax:
Phone No 386-668-4222
Mail: Jennifer.hollowayl6@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail offce@proesolar.eom
State or County License EQ13001686
of wmmencement is regmrea. II
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
--l—nr IIMLCM. A Iyol:Appucaole MORTGAGE COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: State: _ City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
CONTRACTOR AFFInVIT' m,nii—fi .,:. k,e
BONDING
Name:
—
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
X Not
St. Lucie County makes no reGresentation 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
with lender or an atfnrnov hcfnrc rnmmenrinv urnrp .. ,...Ot........... n _t r
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF VOIUSIa
Sworn to (or affirmed) and subscribed before
me of X Physical Presence or Online Notarization
_
this 25dayof OCfOber 2o21 by
Name of person making statement,
Personally Known X OR Produced Identification
Ty a of Identification Produced
_
(Signature of Notary Publlc- State of Florida)
Commission No. NHn64^d61 (Seal)
NOM Pualic anre of narida
4' �; James Moms
James
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