HomeMy WebLinkAboutBuilding permit app, UPDATEDALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/3/2021 Permit Number: 2110-0546
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 xxxxxxxxx
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 1008 Echo St Fort Pierce, FL 34982
Legal Description: WHITE CITY SID 09 36 40 N 105 FTOF S 390 FT OF W 97.23FT OF E 900.07 FT OF LOTS 222 AND 223 (0.23 AC) (MAP34/09S) (OR
Property Tax ID #: 3403-502-0267-000-6
Site Plan Name:
Project Name: Clyde Heffelfinger
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Solar PV System Roof Mount & Interconnection
CONSTRUCTION INFORMATION:
Additional work to bepertormed under
EIHVAC Li Gas Tank
11 Electric M Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 59973
this permit — check all apply:
Gas Piping _ Shutters
Sprinklers Generator
S Ft. of First Floor:
Utilities:cnSewer Septic
OWNER/LESSEE:
NameClyde Heffelfinger
Address:1008 Echo St
City: fort pierce State:FL
Zip Code: 34982 Fax:
Phone No.7723701593
E-Mail: Cbheff@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Lot No.222/223
Block No.
Windows/Doors
11 Roof
Building Height:
j CONTRACTOR:
Name: Rafael Angel Gonzalez Mendoza
Company: Go Solar Power LLC
Address: 933 Clint moore rd
City: boca raton
Zip Code: 33487 Fax:
Phone No. 561-228-4483
E-Mail: Jackson@gosolarpower.com
State or County License: CVC56962
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Roof pitch
State: FI
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
N am e: Clyde Heffelringer N a m e: Rafael Angel Gonzalez Mendoza
Add ress: 1008 Echo St Fort Pierce, FL 34982 Address: 1008 Echo St
City: fort pierce State: City: boca raton _ State:
Zip: Phone Zip: Phone:. -
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Ad d ress: 933 Clint moore rd 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
bylaws that such
which is in conflict with any applicable Home Owners Association rules, or and covenants may restrict or prohibit
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 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
commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF St Lucie COUNTY OF St Lucie
The forgoing instrument was acknowleclig d before me The forgoing instrument was acknowledged before me
3 day November 2 by
this 3 day of November .20 oz1 by this of _
Rafael Angel Gonzalez Mendoza (poa) Rafael Angel Gonzalez Mendoza
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature oftof Notary Public- State of Floridail )
f otary Public- State of Florida) (Signat2'n
Commission No. Oata-prO (Seal) Com---- No. 31;,40 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17 . Iry Notary Public State Honda 4.
,ar Notary PublicState of Floride > IN Jackson Nash McInerney
Jackson Nash Mclnemey My Commission HH 031240
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