HomeMy WebLinkAboutBuilding Permit App - 10800 Carlton Rd IarMVocJ
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: } Permit Number:
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L" I f, I L " Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 lArginta Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578
PERmrT APPLICATION MR: `�S�1�,r R��J Jc1 h \
PROPOSED IMPROVEMENT LOCATION:
Address: 10800 Carlton RD Fort Pierre, FL 34987
Property Tax ID#: 4210-323-0006-000-1 Lot No.
Site Plan Name: Block No.
Project Name: Zinger PV Solar
DETAILED DESCRIPTION OF W M-
PV Solar Installation �=_
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas"Bank _Gas Piping _Shutters _Windows/Doors � Pond
Electric —Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: 11 Sq.Ft.of First Floor:
Cost of Construction:$— t �V Utilities: —Sewer —Septic Building Height:
OWNERAMEE: OONTIMCTOR:
Name AnthonyZir er& Rebecca C Moore Name: Scott Porber
Address: 10800 Carlton RD Company. Ttan Solar Power FL
City: Fort Piece_ State:_E Address: 901_Armstrong _Blvd
Zip Code. 34987 Fax: City: Kissimmee State:FL
Phone No. 772 3614807 Zip Code: 34741 Fax:
E-Mail. uwant2lahere@yahoo.com Phone No (855)729-7652
Fill In fee simple Title Holder on next page( If different E-Mail flpermitting@titansolarpower.com
from the Owner listed above) State or County License EC13009924
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC Is$7,500 or more,a RECORDED Notice of Commencement Is required.
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SUPPLEMENTALCONSLRUCnON LIEN LAW INFORMATION: _—
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFF[DVIY: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that na 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 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 poste44n the job sit before the first inspection. If you intend to obtain financing, consult
with le er Oran atta b re co mencin work or recording our Notice of Commencement.
rgnature o n Lessee/C tractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF_ LQc%Q
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this ;�U day of ;')P4�- 20,,J_ by
Name of person limakinigjtatement.
Personally Known OR produced Identification _
Type of Identification Pr uced 1)i_-
I
(Sig-ndtutof Notary P blic-5 of Nc6ha)
',+ti-P0.. KRYSTAL RODRiGUEZ OTERO
Commission No. (Seal) a° �Natary PUbIJC-State of 1 lvrida
,� •- Commission N HH 89764
.,,�P„�++� My Commission Expires
i®brUary 08,2025
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
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COMPLETED
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