HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/22/2022 Permit Number:
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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:Westling-Solar
PROPOSED IMPROVEMENT LOCATION:
Address: 6201 Oleander AvenueFort Pierce, FL 34982
Property Tax ID tt: 3409-411-0003-000-7
Site Plan Name:
Project Name: Westling-Solar
DETAILED DESCRIPTION OF WORK:
Install 35.55 PV Solar System to roof
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
X Electric — Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 140,420.00
Residential X
=111111►Ga
Block No.
_Shutters _ Windows/Doors _ Pond
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJohn Westling
Name. Brian Miller
Address:6201 OleanderAvenue
Company: professional Electrical Services, Inc.
City. Fort Pierce State: FL
Address:290 Springview Commerce ❑r. #3
City: DeBary State: FL
Zip Code: 34982 Fax:
Phone No.412-716-1098
Zip Code: 32713 Fax: 386-668-8222
E-Mail:jawestling@gmail.com
Phone No386-668-4222
Fill in fee simple Title Holder on next page (if different
E-Mail office@proesolar.com
from the Owner listed above)
State or County License EC1 3001686
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: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: I Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zi p: Phone:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Address:
City:_
Zip:
Ph
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 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 thejobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording vour Notice of Commencement.
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Sigri ure of owner a ee ❑ntractor as Agent for Owner
Signature of C❑ tractor/License Holder
STA E OF FLORIDA
STATE OF FLORIDA
COUNTY OFvohisla
COUNTY OFv<+usia
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or x Online Notarization
x Physical Presence or Online Notarization
this 22 day of March by
this 22 day of March L ` k by
John Was[ling
Brian Miller
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification x
Personally Known x OR Produced Identification
Type of identification
Type of Identification
Produced Drivers License
Produced P®rsonally Known
(Signature of NotaLatdqCtjrpI5Fft!*&te of Florida
0 a� rpublir State Y FloridraJame&
{Signature of Notary PublLr4L
Morris
amees�snnMorris
AAy Comryion N pGeE82
Commission No. ,reg 1t +
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Commission No. xp, 8l76za
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