HomeMy WebLinkAboutBUILDING PERMIT APP-UPDATEDAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1573 CBDG Funding
PERMIT APPLICATION FOR: GARY RHODES
PROPOSED IMPROVEMENT LOCATION:— GROUND MOUNTED _
Address: 2405 COOLIDGE RD FORT PIERCE, FL 34945
Property Tax ID #: ��7�-5Q1-OQ�Q ___ ____ __�_ Lot No. 11_ 12
_ __�__
Site Plan Name: RHODES _ _ —__ Block No.
Project. Name: GARY
_ _RHODES,
_
�ETAILED DESCRIPTION OF WORK:
INSTALLING 23.12KW GROUND MOUNTED SOLAR PHOTOVOLTAIC SYSTEM
_
New Electrical Meter X Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanicai Gas Tank _ Gas Piping Shutters Windows/Doors Pond
X Electric Plumbing Sprinklers _ Generator —_ Roof Pitch
Total Sq. Ft of Construction: _ Sq. Ft. of First Floor:,.�.-
1
Cost of Construction: $ 2 S`D^O Utilities: _ Sewer _Septic Building Height:
OWNER%LESSEE: �
CONTRACTOR:
Name GARY RHODES
Name: RAYMFAD
Company: LSCI INC.
Address: 2405 COOT IDGE RD
City: FLF?IERf'.F _-_--_...___ . _. ..-....__-. State:..
Address: _7300 RRNI-DAIRY RD SUIT_E_400_._._.
City: _SEMINOLE ` State: FL
__ _
j Zip Code: 34945 J Fax: _ _—____-_.
Phone No. 772-370-1256—,__.._^_._.._ E-
i Zip Code: 33777 Fax: 727-683-9854
i Phone No 727-571-4141 j
E-Mail R�rmitLnxprS��larerter�y�t._
Mail: LAZYRBAR7QM5N COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License CVC056656
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:
j DESIGNER/ENGINEER: ` Not Applicable~MORTGAGE —COMPANY.
Not Applicable
Name: LORD R LAWRENCE CONSULTING — I Name:
Address: 579Q LAKE'NORTH RD I Address:
City: 3REENACRES State: FL City: State:
Zip: 33463 Phone561444-ats2� I Zip:_ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable 1 BONDING COMPANY. ,Not Applicable —~
j Name: Name:
I Address: Address:
City: ! City:
i _
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
which conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or
prohibit such
structure. Please consul 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 concufrency 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
irnprove merits to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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.
r
Signature of Owner/ Lessee/Contractor as Agent for Owner
! STATE OF FLORIDA
COUNTY OFST. LUCIE
_
Sworn tc joi affirrperlI and subscribed before me of /Physical Presence or Online Notarization
this % ay off ,., Q�Sj_. by
Narne of person making statement.
Personally Known _X_- OR Produced Identification _ �.►W °u, Notary Public Stems of Florida
Frank M Perry Jr
i Typ o I iFiC n Produced_ —.— _ — o My Commission GG 336129
i s Expires 06/2812023
i
(Sighaturi of NoW Public- State of Florida)
Commission No. (Seal)
I
' I
REVIEWS FRONT ZONING SUPERVISOR PLANS 1 VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEWREVIEW REVIEW REVIEW REVIEW
j DATE
RECEIVED _
COMPLE-rED _ _ -- i _ �. I ..__ .
ev 5/20/21