HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
1�--'
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Co ercial Residential
2300 Virginia Avenue., Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Residential0 0 0
Photo Volt Ic 1
PROPOSED IMPROVEMENT LOCATION:
Address: 7638 Greenbrier Cir Port St Lucie, FL 34986
Property Tax I D #: 3322-700-0060-000-5 Lot No. 55
Site Plan Name: Deborah L Breckenridge Block No.
Project
Name: Deborah L Breckenridge solar Install
Install ii kW Photo Voltaic System To Single Family Residence
New Electrical Meter. Second Electrical Meter
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ONS'TRC UCTION INFORMATION.. ...................
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Additional work to be performed under this permit — check all that apply:0
_Mechanical _Gas Tank _Gas Piping _Shutters W i n d o w s / D o o r s _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Deborah L Breckenridge Name:Gary Germanton
Address: 7638 Greenbrier Cir Cornpany:AC/DC Solar LLC
City: Port St Lucie, State: FL Add ress:5001 S Florida Ave
Zip Code:34986 Fax: City: Lakeland .-- State: FL
Phone No. 110472nq3t Zip Code: 33813. Fax:
E-M a i I: ps176380- c2m cast,. net Phone N0855-577-7999
Fill in fee simple Title Holder on next page if different E-Mail Permits@acdcsolarllc.com
from theOwnerfisted above) State or County L'icenseEC13010020
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 .0
is required.
SUPPLE
ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER:. _Not Applicable
Na ]'n e : Godwin Engineering and Design, LLC
Address:8378Foxtall Loop
City. Pensecol State . FL
Z i P: 32526 P h o n e (941) 413-0403
FEE SIMPL TITLE HOLDER:
Name:
Address:
City:
Zip:
OWNER/ C
Phone:
_ Not Applicable
MORTGAGE COMPANY
Name:
Address:
_Not Applicable
City: State:
Zip-0 Phone:
BONDING COMPANY9
:
Name.
0
Address:
City:
Zip: Phone:
Not Applicable
NTRACTOR AFFIDVIT,.* Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that nb work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize thei
permit holder to build the subject structure
which is n cotlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Pielse consult with your Home Owners Association and review your deed for any restrictions which may apply.
In considerati n 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.
Thefollowing uilding permit applications are exempt from undergoing a full concurrency review: room additions,
accessory stru tures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING 1 O OWNER*. Your failure to Record a Notice of Commencement may result in paying twice for
i prov to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie Cdunty and posted on the jobsite before the first inspectio . If you intend to obtain finar}fiing, consult
with lenkler or an attorney before commencing work or recordin our No ice Cco'enceent,.19
Signature of Owner/ Lessee/Contractor as Agent for Owner..:,#,"-r
STATE OF LORIDA
COUNTY F
Sworn to (or affirmed) and subscribed before me of
Physic I Presence or Online Notarization
this da of , 2020 by
Name of person making statement.
Personally K�own OR Produced Identification
Type of Iden ification
Produced
(Signature qf Notary Public- State of Florida )
CommissionlNo.
REVIEWS
DATE
RECEIVED
DATE
COMPLETE
% %yLyAiI
FRONT
COUNTER
(seal)
ZONING
REVIEW
SUPERVISOR
REVIEW
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S'ig n at u r f I
ntrr/License
STATE FLORID
COUNTY:OF icyI,!!
Ider
Sworn to (or affirmed) and subscribed before me of
� Physical Presence or Online Notarization
this � Zday of 202* by
(N7 ARq (,'A t,04 NTSIJ
Name of person making statement.
Personally Known �� OR Poduced Identification
Type of Identifica11 tila� on
1111
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� EP S
O ivii/2025
(Signature o f F I o�d�
L t C� � = Dennis R GodsBY
Commission No. �T � -� oil -
Commission
�7 MHHComrinission
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PLANS VEGETATION SEA TURTLE
REVIEW REVIEW REVIEW