HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ 14ki yI
Permit Number:
O
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) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 7679 WYLDWOOD WAY PORT ST LUCIE, FL 34986
Property Tax ID #: 3321-801-0008-000-0 Lot No. 8
Site Plan Name:
Project Name: VILCHES, YAIMARA
I DETAILED DESCRIPTION OF WORK: i I
ROOF MOUNTED SOLAR PV SYSTEM INSTALLATION - 12.96 KW
Block No.
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
RV/ Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 34,344.00 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
iiCONTRACF R:
Name YAIMARA VILCHES
Name: NORMAN E PURKEY
Address: 7679 WYLDWOOD WAY
Company: SOLAR BEAR LLC
City: PORT ST LUCIE state: FL
Zip Code: 34986 Fax:
Phone No. FL
Address: 4091 AMTC CENTER DR
City:CLEARWATER State: FL
Zip Code: 33764 Fax:
Phone No 727-471-7442
E-Mail:yaimioerez@ hotmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail JOET@ OURSOLARBEAR.COM
State or County LicenseEC13006630
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
Name:
MORTGAGE COMPANY: otApplicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: of Applicable
Name:
BONDING COMPANY: _ of Applicable
Name:
Address:
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
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 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.
Sig ontractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF HX"d*A2grj-
Sworn to Jor affirmed) and subscribed before me of *,-`Physical Presence or Online Notarization
this ay of .ZlezWVV 20jl�t by
nazi gt' 1
Name of person making sta ement.
Personally Known ✓ OR Produced Identification
Type of dentifiProduced
(Si&p6ture 4Notary Public -State of Florida J
Commission No.(guo (Seal)
Joseph Tribou
(Notary Public, State of Florida
M Commission Expires 12/07/2024
Commission No. HH 69907
REVIEWS
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COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEATURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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