HomeMy WebLinkAboutBuilding Permit App - Brookline AveAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/1/2022
Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
CBDG Funding
PERMIT APPLICATION FOR: Christopher J Roote
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 8803 Brookline AVE Fort Pierce, FL 34951
Property Tax ID #: 1301-608-0293-000-3 Lot No. 27 & 28
Site Plan Name: Christopher J Roote Block No. 100
Project Name: Christopher J Roote
DETAILED DESCRIPTION OF WORK:
Installation of roof mounted PV Solar Panel Svstem
New Electrical Meter N/ 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
Electric _ Plumbing _ Sprinklers _ Generator Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 53,855.49 Utilities: Sewer _ Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name ChristnnhPr .1 Rnnte
Name: Greg Albright
Address: 8803 Brookline AVE Fort Pierce, FL 34951
Company: Forever Florida LLC
City: Fnrt Pierce State: EL
Zip Code: 34951 Fax:
Phone No. (772) 240-8945 E-
_Freedom
Address: 3590 NW 54 St Otp 3
city: Fort Lauderdale State: FL
Zip Code: 33309 _ Fax:
Phone No 951-404-0837
Mail: roote.c)r(cr�amail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail p PrmitslaudPrdalPnfrPPdnmforPvPr_cnm
State or County License EC13008056
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
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: _State:
Zip: Phone:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Address:
City:
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.
4d�k
tur f Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Broward
Sworn to (or affirmed) and subscribed before me of X Physical Presence or Online Notarization
this 1 day of February 20_22 by
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
(Signature of tary Pub i ate of orida)
Commission No. GG 179973 (Seal) tate of Ronda
nger
yiff
GG 179973
022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 5/20/21