HomeMy WebLinkAboutBuildingPermitApp ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/112021 Permit Number:
■
Building permit Application
Planning and Development Services
Building and Code Regulation Division
2300 VFrginia Avenue,fort Pierce Ft 349S2
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 7469 COMMERCIAL CIR
Legal Description: KINGS HIGHWAY INDUSTRIAL PARK-UNIT ONE-BLK A LOT15 (0.56 AC) (OR 1510-1838)
Property Tax ID#: 1335-801-0016.000-6 Lot No.15
Site Plan Name: Black ND. A
Project Name: Hot-Pie Inc
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORD: �J
Soler PV System Roof Mount& Interconnection
CONSTRUCTION INFORMATION: l
Additiar"alwvo To- be -er ❑rmed und"erMLs perm1Cgc apply:
❑ VAC Gas Tank _Das 1:1Windows/Doors
inShutters
Electric ®Plumbing OSprinklers Generator ®Roof Roof pitch
Total Sq.Ft of Construction: Ft.of First Floor:
Cost of Construction:$ 54756 Utilities Sewer❑Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Na me Mark Chung Name: Rafael Amel Gonzalez Mendoza
Address:7469 Commerical Cir Company: OD Solar Power LLC
City. Fort Piercec State:Fl- Address. 801 SE 6th Ave
Zip Code: 34951 Fax: City: Defray Beach State:Fl
Phone No.9548567962 Zip Code: 33483 Fax:
E-Mail:hotplepres@gmail.00m Phone No. 561 2284483
Fill in fee simple Title Holder on next page( if different E-Mail: Jackson@gosolarpower.com
from the Owner listed above) State or County License: C`d'C56962
If value of construction is$2500 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: T
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:so,se&hA- Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFI DVIT: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 Count makes no representation that Is granting a permitwi II authorize the permit holder to build the subject structu re
which Is In conflict 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. Lucile County Amendments.
The following building permit appllcations are exempt from undergoing 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencin&work or recording our Notice of Commencement.
Signatu re of owner/ Lessee/Contractor-as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTYOF&um COUNTYOFstu-i- _ --
The forgoing Instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this t day of November ,20_2i by this t day of November — 20 1 by
-- Rafael Angel Gonzalez Mindoza( a) ---- Rafael A,ijei Gonzalez Mendoza
Name of person making statement Name of person making statement
Personally Known x= OR Produced Identification Personally Known xxx OR Produced Identification
Type of identification Type of Identification
Produced Produced
(Signature of Notary P c-State of Florlda) (Signature of N ar Public-State of Florida)
Commission No. 0 (Seal) Commission No. C) / (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
MTF
RECEIVED
COMPLETED
Rev.8/2/17