HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/7/22 Permit Number:
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C � -��` 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: Solar PV
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w PROPOSED IMPROVEMENT LOCATION:
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Address: 8560 Cobblestone Drive, Fort Pierce, FL 34945
Property Tax ID#: 2326-600-0099-000-9
Lot No. 94
Site Plan Name: Johnson, Leroy 7.2kW Block No.
Project Name: Johnson, Leroy 7.2kW
DETAILED DESCRIPTION OF WORK:
Installation of 7.2 kW Rooftop Photovoltaic Solar Energy System
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
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: $ 23,878.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Leroy Johnson Name:Timothy Gephart
Address: 8560 Cobblestone Drive Company: GreenReady, LLC
City: Fort Pierce State: FL Address:4705 Lena Rd.. Unit 104
Zip Code: 34945 Fax: City: 6 adenton State: FL
Phone No. (772)828-0398 E- Zip Code: 34211 Fax:
Mail:lohnson.leroy _comcast.net Phone No_(941) 315-7760
Fill in fee simple Title Holder on next page (if different E-Mail_greenreadysolutions(dgmail.com
from the Owner listed above) State or County License EC13008201
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 LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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 conflicts with any applicable Homeowners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult 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 posted on the jobsite before the first inspection. If you intend to obtain financing,consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
Signature of Co ractor-or-Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization
this 7 day of January 2o21 by
Name of person making statement.
Personally Known / OR Produced Identification
Type of Identification Produced
(Signature of No ary Pub ic-State of Florida)
Commission No. GG342414 (SE40
JOHN THOMAS LAYCOCK
Notary Pub0c,State of FW46Commmlon No.GGU2414
Commission Expires 06/0612023
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