HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LUCIML�
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:
PROPOSED IMPROVEMENT LOCATION:
Address: 5100 PINETREE DR Fort Pierce FL 34982
Property Tax ID #: 3402-602-0164-000-8
Site Plan Name: INDIAN RIVER ESTATES -UNIT 1- BLK5 LOTS 1 AND 2 (MAP 34/02S)
Project Name: Damien Agostinelli
DETAILED DESCRIPTION OF WORK:
Installation of Roof Mounted PV Solar System
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Lot No, 1
Block No. 5
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: _ Sq. Ft. of First Floor:
Cost of Construction: $ 43-753.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
Name Qamien A os inelli
Address: 5100 PINETREE DR
city: Fort Pierce State: EL
Zip Code: 34982 Fax:
Phone No. (202) 641-8311 E
Mail: damien@volanno.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Gre❑ Aibriaht
Company: Freedom Forever LLC. FL
Address:3590 NW 54th St Suite #3
city: Fort Lauderdale State: FL
Zip Code: 33309 Fax:
Phone No 951 988-3982
E-Mail Perm itslauderdale(cD-freedomforever.com
State or County License EC 13008056
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.
i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: _
Address:
City:
Zip:
Phone
of Applicable MORTGAGE COMPANY:
Name:
Address:
State: City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name: _
Address:
City:
Zip:
Phone:
BONDING COMPANY:
Name: _
Address:
City:
Zip:
Phone:
VNot Applicable
State:
IV0I1
ot Applicable
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consuyL 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 po ed on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an at _meqrney before commencing work or recording your Notice of Commencement.
Signature of Ow(nor/ LesgeAYContractor as Agent for Owner
STATE OF FLO A V Greg Albright
COUNTY OF
Swor. o (or affi ed) and su scribed be4re me of Physical Presence or Online Notarization
this day of jp &jA 20 by
_ A
Name of person making
RersonaN Known V
Type of cl ntificp;ion Pr
ent.
roduced Identification
(Signatu of No (Seal) i a)
Commiss. n No. Pr AAB Stimof adea
M�S 122311
REVIEWS FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW