HomeMy WebLinkAboutPermit Application Harris MarthaAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L Ur L L,'�
L C L l: E E- Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 2210 N 43rd St Fort Pierce, FL 34946
Property Tax ID #: 1431-801-0027-000-1 Lot No.
Site Plan Name: HARMONY HEIGHTS NO 4 BLK 6 S 1/2 OF LOT 5 AND ALL LOT 6 (OR 3243-855) Block No. S
Project Name: Harris Martha
DETAILED DESCRIPTION OF WORK:
Installation of Roof Mounted PV Solar System
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION
(Affidavit required)
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Cost of Construction: $ 27,277.81 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: 'CONTRACTOR:
Name Martha Harris Name: Greg Albright
Address: 2210 N 43rd St Company: Freedom Forever FL LLC
City Fort Pierce State: FL Address: 3590 NW 54th St Suite #3
Zip Code: 34946 Fax: City: Fort Lauderdale State: FL
Phone No. 772 940-6896 E- Zip Code: 33309 Fax:
Mail: mmhm76@outlook.com Phone No (951) 988-3982
Fill in fee simple Title Holder on next page (if different E-Mail Permitslauderdale@freedomforever.com
from the Owner listed above) State or County License EC 13008056
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY.
Name: Name:
Address: Address:
City: State: City:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: T Not Applicable
Name: _
Address:
City:
Zip:
Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
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 bulld the subject structure
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 post d on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an att0ney before commencing work or recording our Notice of Commencement.
Signature of Own
STATE OF FLORIDA
COUNTY OF W
Greg Albright
as Agent for Owner
Swor o (or affir e) and subscribed before me of
this T day of 204- by
Physical Presence or Online Notarization
Name of person making atement.
�IJ NPunic dary Stele of flatde
Personally Known O rodu Id i i ation Ann M8lenoo
Type of Identification Produc dMy
°"HH 122311
wr► �5
A . l
(Signature of Notary Public -
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
(Seal)
FRONT I ZONING
COUNTER REVIEW
SUPERVISOR PLANS ' VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW