HomeMy WebLinkAboutBUILDING PERMITAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 6251 Adington Way
Residential x
Property Tax ID #: 1312-502-0085-000-1 Lot No. 184
Site Plan Name: Block No.
Project Name: Lorange
DETAILED DESCRIPTION OF WORK: —�
Install solar electric (PV) system
New Electrical Meter Second Electrical Meter
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: $ 41,614.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Casey Lorange
Name: Erik F. DeLaney
Address:6251 Arlington Way
Company: Climatic Solar Corporation
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-777-6910
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 32962 Fax:
Phone No 772-567-3104
E-Mail: c[68981@gmaii.com gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail support@climaticsolar.com
State or County License CVC56671
.—...- I•uuce ur Lummencement Is required.
If value of HAVC is $7,500 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: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State: _
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 CounttFlFlyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Home Owners Association sand reviewn rules, ylaws or your deed fr any restrictiocovenants thatns which may applyhibit such
structurin e. Please consult any
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
commencin work or r co din our Notice of Commencement.
c9
Sign re of Owner Lessee/Conr or s g rOwner
Sign ture of Contractor/License d r
STATE OF FLORIDA
COUNTYOF Indian River
STATE OF FLORIDA
COUNTY OF Indian River
The forgoing instrument was acknowledged before me
thi�4 day ofT 20-2zby
The forgoing instrument was acknowledged efore me
this C ay of �v� . z0 y
Erik F. DeLanev
Erik F DeLanPy
_
Name of person making statement.
Name of person making statement.
Personalty Known OR Produced Identification
Type of Identification
Produced
Personally Known V OR Produced Identification
Type of Identification
Produced
VOignatureAstal
{Signature of No P lic- Sta ida otary Public
ate of Fionda
Commission No. _ _Comm# HHi16473
2025
"lOridHl•ki8h Shon
s Notary Public
Commission No.: o of Florida
= Comm# HH11g47.
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