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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: L..c'LL....-� i 1 1, - 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: Roof mounted PV solar { PROPOSED IMPROVEMENT LOCATION: Address: 9521 Windrift Circle Property Tax ID #: 2310-500-0037-000-1 Lot No. 20 Site Plan Name: Block No. 1 Project Name: BrOlAln Milliamc-W I AP DETAILED DESCRIPTION OF WORK: roof mounted PV solar and interconnection New Electrical Meter Second Electrical Meter (Affidavit required) CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check all that apply: _Mechanical i Gas Tank —Gas Piping Shutters Windows/Doors Pond _ Electric _ Plumbing ! Sprinklers Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 35226 Utilities: —Sewer — Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Beverly Brown Williams Name: Richard L ongo Jr Address:g.S91 tAt►ntir►ft 1 irnln Company: Florida Power Management City: _ Pnrt Pigrce State: _ Address: 1331 Green Eorestt Ct 42 Zip Code: 34945 Fax: City: Wine' Garden State: FL Phone No.__ 301-996-2569 E- Zip Code: _ 34787 _ Fax: Mail: _­yA,�A�gil 6Rm— Phone No 4075542047 Fill in fee simple Title Helder on next page (if different E-Mail j 4 aCfnm�otar eom from the Owner listed above) State or County License EQ1 00964S 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: Not Applicable ._ Name: Address: Address; Address: City: City: Zip: Phone State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _Not Applicable Name: BONDING COMPANY: Not Applicable Address: Name: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRArTna eGCm1111T ..- r F;,oLiu,1 - 1e,Cuy rnaue Lo oorain a permit to do the wort{ 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 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 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. Signature of C ntractor - or - er ilder as applicable STATE OF FLORIDA COUNTY OF -J" Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this _:?_ day of 20Z by of person making Personally Known _ `� OR Produced identification Type of identification Produced ,if,, t,'- ,. Pu State of Florida) Commission 40. � , , (Seal) REVIEWS FRONT ZONING COUNTER REVIEW DATE RECEIVED DATE COMPLETE© a r=oS�v °Ue;.. MEGAN WALLACE Notary Public -State a. Florida Commission HH 077435 My Comm. Expires Dec 13, 2024 Bonded through National ,Vct;ry Assn. S REVIEWOR REVIEW VREVIEWON I S REV EWLE MREVIEWVE