HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
S:1r,, LU c_,
L , L t� 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: Residential Photo voltaic
PROPOSED IMPROVEMENT LOCATION:
Address: 8212 Amalfi Cir. Fort Pierce 34951
Property Tax ID #: 1311-700-0126-000-6 Lot No. 22
Site Plan Name: Lewis, Freya & Matthew Block No. 2
Project Name: Lewis Freya & Matthew
Install 9.36kW Photo Voltaic System To Single Family Residence
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors _ Pond
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 38,101.48
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNERILESSEE.
CONTRACTOR:
Name
Name:Gary Germanton
Address:
Company:AC/DC Solar LLC
City: State: _
Zip Code: Fax:
Phone No.
Address:5001 S Florida Ave
City: Lakeland State: FL
Zip Code: 33813 Fax:
Phone No855-577-7999
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permits@acdcsolarllc.com
State or County License EC13010020
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 LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Godwin Engineering and Design, LLC
Name:
Add ress:8378 Foxtail Loop
Address:
City: Pensecola State: FL
City: State:
Zip: 32526 Phone(941)413-0403
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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 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 finapcing, consult
with lender or an attorney before commencing work or recordin cur Notic of om ence ent.
Signature of Owner/ Lessee/Contractor as Agent for Owner
; Signatur of C t� or/License older
STATE OF FLORIDA
STATE OF LORIDA
COUNTY OF
COUNTY OF Hillsborough
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this day of 2020 by
this 23 day of December , 2021 by
Gary Germanton
Name of person making statement.
Name of person making statement. p!i
Personally Known OR Produced Identification
Personally Known �` O Pr duced Ident�i ii)n Expires
Type of Identification
Types 11,denliti ` ,�.
Produced
Produce _
Dennis R Gods
MV commisLsqn
(Signature of Notary Public- State of Florida)
(Signature of Notary lic- State of Florida) �'.� >X HH 197497
i""/
tfit} t `( + LJ 9`F
Commission No. (Seal)
Commission No. (Seal) /,/O FllF1�
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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