HomeMy WebLinkAboutBuilding Permit Application - WashingtonAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
��ra Luc'LL ,
44,0411 Building Permit Application
Planning and Development Services
Building and Cade Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPRCIMAENT LOCATION:
Address: 2106 RIVER HAMMOCK LN FORT PIERCE, FL 34981
Property Tax ID #: 3404-313-0010-000-3 Lot No.
Site Plan Name: Block No.
Project Name: WASHINGTON, MARK
DETAILED DESCRIPTION OF WORK:
ROOF MOUNTED SOLAR PV SYSTEM INSTALLATION - 18KW
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
✓❑Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 47,700.00 Utilities: _ Sewer _ Septic
Building Height:
Pond
Pitch
OWNERAESSEE:
CONTRACTOR:
Name MARK WASHINGTON
Name: NORMAN E PURKEY
Address: 2106 RIVER HAMMOCK LANE
Company: SOLAR BEAR LLC
City: FORT PIERCE State: _EL
Zip Code: 34981 Fax:
Phone No. _561-662-2505
Address: 4091 AMTC CENTER DR
City:CLEARWATER State: FL
Zip Code:33764 Fax:
Phone No727-471-7442
E-Mail: ALLAREAPOOLOBELLSOUTH NET
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
E-Mail JOET@ OURSOLARBEAR. COM
State or County LicenseEC13006630
Ir value ur Cumarunion is zouu or more, a KLLUKulo Notice of commencement is required.
If value of HAVC Is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPUMENTAL CCN $TRUMON LIEN LAW INff?RIliI
1N:
DESIGNER/ENGINEER: ✓Not Applicable
Name:
MORTGAGE COMPANY: _✓Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: _,Wot Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIOVIT: 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 Is in cantllct with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners 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 attorney before commencing work or recording Vour Notice of Commencement.
A fp t
Signature of Own ontractor as Agent for Owner
STATE OF
COUNTY OF Q
sworn to (or affirscribed before me of ✓Physical Presence or_ Online Notarization
m ) nd sub
thiso dayof ,20L by
of person
Personally Known ✓ OR Produced Identification
Type of Identification Produced
of Notary Public -State
Commission No. Ill/ &410'fl (Seal)
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
Joseph Tribou
Notary Public, State of Florida
My Commission Expires 12/07/2C
Commission No. HH 69907
SUPERVISOR PLANS VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW