HomeMy WebLinkAboutPermit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/30/21 Permit Number:
rU L .ILL
L r.±` V L ' 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
P tOPOSEb.,INIPROVEM N7'.LU(AT C3IV r f s n
Address: 5612 Cassia Dr. Fort Pierce, FL 34982
Property Tax ID#: 3402-610-0266-000-8 Lot No. 1
Site Plan Name: Schroeder Block No. 79
Project Name: Russell Schroeder
DE`CAII � DESCRIP' ION OF
Install 11.44kW Photo Voltaic System To Single Family Residence
New Electrical Meter Second Electrical Meter
CC N5TRL�CTldN It l✓C+Ft1VI-AT
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: 390 Sq. Ft. of First Floor:
Cost of Construction: $ 75,000.00 Utilities: —Sewer _Septic Building Height:
+ 1NNE1 %LESS4,7
CONS R #CTOR' r
Name Russell A Schroeder Name:Gary Germanton
Address: 5612 Cassia Dr Company:AC/DC Solar LLC
City: Fort Pierce, State: FL Address:5001 S Florida Ave
Zip Code: 34982 Fax: City: Lakeland State:FL
Phone No. (772) 285-8448 Zip Code: 33813 Fax:
E-Mail: mrrschroeder@gmail.com Phone No855-577-7999
Fill in fee simple Title Holder on next page(if different E-Mail Permits@acdcsolarllc.com
from the Owner listed above) 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.
SUPPLWENTAL CONSTRUCTION LIEN.LAW INFORMATIdN ,
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name:Godwin Engineering and Design,LLC Name:
Address:8378 Foxlail 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 fin cing, consult
with lender or an attorney before commencing work or recording our No ice of Commenc ent.
i ,
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Signature of Owner/Lessee/Contractor as Agent for Owner," Signaturd of C tra or/License Hol er
STATE OF FLORIDA STATE O FLORIDA E.)
COUNTY OF COUNTY OF
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
Physical Presence or Online Notarization !( Physical Pres nce or Online Notarization
this day of 2020 by this Z1day of CQ</ V 2021 by
Name of person making statement. Name of person aking statement.
Personally Known OR Produced Identification nally Known k OR Produced IdentificatiPpwlimt
Type of Identification Type I 'on \\\��PRLii
Produced oduce ��`�'� Expires
1111112025
(Signature of Notary Public-State of Florida ) (Signature of Nota Public-State of Floridj).)Dennis Y
Commission No. (Seal) Commission No. �Q ` �� $' A MY commission
HH 197497
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE`\\
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.