HomeMy WebLinkAboutBuilding Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/3/2021 Permit Number:
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
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 1008 Echo St Fort Pierce, FL 34982
Residential xxxcxxxxx
Legal Description: WHITE CITY S/D 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:
Powerwall Installation 2 powerwalls
Right Side: Left Side:
CONSTRUCTION INFORMATION:
A-deilit—ional work to be performed under th is permit — c
0HVAC Gas Tank Gas Piping
1-1 Electric Plumbing Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 20000
Lot No. 222/223
Block No.
Inapply:
_ Shutters ❑ Windows/Doors
MGenerator 0- Roof Roof pitch
S Ft. of First Floor:
Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Clyde Heffelfinger Name: Dean A Hodge
Address: 1008 Echo St Company: Go Solar Power LLC
City: fort pierce State: FL Address: 933 clint moore rd
Zip Code: 34982 Fax:_ _ City: boca raton
Phone No. 7723701593 Zip Code: 33487 Fax: _
E-Mail: Cbheff@comcast.net _ Phone No. 561-228-4483
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: EC13007879
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: Fl
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Clyde Heffelfinger
Name: Dean A Hodge
Address: 1008 Echo St Fort Pierce, FL 34982
Address: 1008 Echo St
City: fart pierce State:
City: boca raton State:
Zip: Phone
Zip: Phone:
BONDING COMPANY: Not Applicable
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Name:
Address: 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.
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 conflict with any applicable Home Owners Association bylaws
rules, 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 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 your Notice of Commencement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFstLuoie COUNTY OF St W.I.
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of November 20Zk by this 3 day of November 2Q�_ by
Rafael Gonzalez POA Dean A hodge
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
.'4'1
(Signature of Notary ublic- St d otaryPublicSteteofFlor a(Si ature of No ry P lic- State F ,]�y
:; Jackson Nash Mclnem y
Commission No. 0 ��0 `"` SomotissionHH0312 0 taryPublicStateofy
iireso811112024 CoIn ission No. v3 O Y ..e; cksonNash Mcln m.
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Expires0811112024
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17