HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPUCA71ON TO BE ACCEPTED
Date:
Permit Number:
940 IC OLE
O
° ' � ' 1 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: 6004 Buchanan Drive
Property Tax ID #: 3402-603-0134-000-2
Site Plan Name:
Project Name: Flynn
DETAILED DESCRIPTION OF WORK:
Solar Pool Electric System
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.10&11
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 102,000.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charles V Flynn
Name: Erik F. DeLaney
Address: 6004 Buchanan Drive
Company: Climatic Solar Corporation
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No. 772-882-5623
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No 772-567-3104
E-Mail: vanflynn@yahoo.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail sales@climaticsolar.com
State or County License CVC56671
- ----- -• "••-••--•••,•• •� ��........��... v, n nca.vnvcu Irouce or Lommencement Is requirea.
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 LAM! INFORMATION:
Name:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY:
Not Applicable
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Address: I Address:
Zip: Phone: I Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permitto 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 make 9 no representgtion that is granting a permit will authorize the ermit holder to build the subject structure
which is in conWict with any applicable Home Owners Association rules, bylaws or angcovenants 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
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S ture of Owner/ Lessee/ r ar a Age t for Owner
51grlsture of Contractor/Licens Hot"',
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian River
COUNTY OF Indian River
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this W day of L)rCr . 202�{ by
this a- day of Cb::: CG , 202-1 by
Erik F. DeLanev
Erik F. Delaney
Name of person making statement.
Name of person making statement.
Personally Known V/ OR Produced Identification
—.
Personalty Known OR Produced Identification n
Type of Identification H
Type of Identification
N
Produced
Produced
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Signature of Notary ub -State of Florida)
(ignature of Not ry blic- State of Florida I
Ipi10 N,
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Commission No. '773 (Seal) Op
Commission No..`(seal)
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REVIEW
DATE
RECEIVED
DATE
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