HomeMy WebLinkAboutBUILDING PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: Permit Number.
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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: _---� __--_-----
PROPOSE❑ IMPROVEMENT LOCATION:
Address: 6601 Kenwood RD Fort Pierce, FL 34951
Property Tax ID#: 1301-612-0411-000-0 Lot No. 10
Site Plan Name: LAKEWOOD PARK-UNIT 10-BLK 135 LOT 10(MAP 13/01S)(OR 1238-2607;3417-939) Block No. 135
Project Name: Debie Robin
[NTAIIID DESCRIPTION OF WORK:
Installation of Roof Mounted PV Solar System
New Electrical Meter Second Electrical Meter (Affidavit required)
[C04STRLICTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical Gas Tank Gas Piping _Shutters _Windows/Doors T Pond
Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 47,121 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Robin De Bie Name: Greg Albright
Address: 6601 Kenwood RD Company: Freedom Forever LLC FL
City: Fort Pierce State:EL Address:_3590_NW 54th St Suite#3
Zip code: 34951 Fax: city: Fort Lauderdale State: FL
Phone No. (772) 461-3559 �T E- Zip Code: 33309 Fax:
Mail: rdebie(o)_bellsouth.net Phone No (951) 988-3982
Fill in fee simple Title Holder on next page(if different E-Mail Permitslauderdale@freedomforever.com
from the Owner listed above) State or County License EC 13008056
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.W �
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Add Tess: Add ress:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: VNot 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 postad on the jobsite before the first inspection. If you intend to obtain financing,consult
with lender or an alt ey before commencing work or recording our Notice of Commencement.
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Signature o Ow Less ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Broward
Sworn to(or affirmed)and subscribed before me of _Physical Presence or Online Notarization
this 10 day of February zoo by
Greg Albright
Name of person making statement.
Personalli Known— Pr11 duced identification
Type of id ntifi�atio Pro u
{Signatur of NotaryPubl
Commissiqn No. (seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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