HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
COUNTY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMITTYPE:, , „ , ^ , . ,
Installation of photovoltaic solar system.
PROPOSED INPROVEMENT LOCATION:8591 Hidden Pines Rd.
Address: 8591 Hidden Pines Road, Fort Pierce Fl. 34945
Property Tax ID #: 2323-701-0019-000-6 Lot No. 4
Site Plan Name: Hidden Pines Estates BIk B Lot 4(1.00 AC) Block No. B
Project Name: Tiszauer Residence
DETAILED DESCRIPTION OF WORK:
Installation of photovoltaic solar system.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Mechanical Gas Tank Gas Piping Shutters Windows/Doors
X Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 28,272.00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Detlev Tiszauer Name: Goldin, Daren Tal
Address: 8591 Hidden Pines Road Company: Goldin Solar, LLC
City: Fort Pierce State: Fl. Address: 1115 US Hwy 1
Zip Code: 34945 pax: City: Vero Beach state: Fl.
Phone No. 925-922-0359 Zip Code: 32960 Fax:
E-Mail: detlev@tiszauer.com Phone No 305-882-9044
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permitting@goldinsolar.com Fill in fee simple Title Holder on next page (if different
from the Owner listed above) State or County License CVC56965
If value of construction is $2500 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 LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable MORTGAGE COMPANY:
Name:
Not Applicable
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name: OcTlev H- l>
Not Applicable BONDING COMPANY:
Name;
Not Applicable
Address: 85^1 MFjld^w. O.'Wes. lej. Address:
City: poi-f K et-or . FU Citv:
Zip: 3H-^4-5 Phone: ^ 2.S~9 ZZ.-O iS'^ 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 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
commencing work or recording your Notice of Commencement.
Signature of Owner/ Lei
STATE OF FLORIDA
COUNTY OF
Owner
The forgoing instrument was acknowledged before me
this/y davof fyCfeber .20,1) by
^ei^iev A/. "TTgZ4-LOeJ^
Name of person making statement.
OR Produced Identification \Personally Known
Type of id^ifica
signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrurnent was.acknowledged before me
this _/l day of OcTDh-er . 202Z by
])arer) So/Jfn
Name of person making statement.
Personally Known
Type of identification
Produced
OR Produced Identification
DATE
COMPLETED
Rev. 9/26/18