HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/8/2021 Permit Number:
9L149mk!-;Aki9549
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Solar Electric (PV) System
PROPOSED IMPROVEMENT LOCATION:
Address: 2801 S Brocksmithh Road
Property Tax ID #: 2320-501-0041-010-9
Site Plan Name:
Project Name: Garcia
DETAILED DESCRIPTION OF WORK:
Solar Electric
New Electrical Meter Second Electrical Meter
LCONSTRLICTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 60,235.00
_ Generator
Sq. Ft. of First Floor:
Residential X
Lot No. 10
Block No. 3
Windows/Doors Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Cynthia A. Garcia
Name: Erik F. DeLaney
Address: 2801 S. Brocksmith Road
Company: Climatic Solar Corporation
P Y�
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.916-494-9049
Address: 650 2nd Lane
City: Vero Beach FL
State:_
Zip Code: 32962 Fax:
Phone No 772-567-3104
E-Mail: swtbrzgr@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is 25nn or......e .ocrnenen u_..___s..______
E-Mail sales@climabcsolar.com
State or County License CVC56671
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC 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:
City: State:
Zip: Phone
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDYIT: 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 Counttyy 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Owner
STATE OF FLORIDA I STATE OF FLORIDA
COUNTYOF Indian River COUNTY OF Indian River
The for Ding instrument was acknowledged before me
this: dayof T_->e,CAjrs V_f_207A by
Erik F. DeLane
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
Commission
Haleigh
State of
REVIEWS I COUNTER REVIEW S REVIEW
The forgoing instrument was acknowledged before me
this7. day of JD=&j24 JXP,20�?Jby
Erik F. De Laney
Name of person making statement.
Personally Known %/ OR Produced Identification
Type of Identification
Produced
_�at�e of Nottaar 1 6 c- State of Florida }
"'}, . I I �I -75 a tklt Notary
h
I�"ommission No. o No[a
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PLANS VEGETATION SEATURTLPt MA6V
REVIEW REVIEW REVIEW REVIEW