HomeMy WebLinkAboutBuilding Permit Application (2)Ali APPLICABLE INFO MUST BE; COMPLETED FOR APPLICATION TO BE ACCEPTED]]
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Date: Permit Number: E!�0� I
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Building pp Permit Application
Planning and Development servlcesl
Building and Code Regulation Divi ilon Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (77,2) 462-1578 CBDG Funding
'PERMIT APPLICATION FOR:
PROPOSED IIVIPROVEME+NT 10.CATi_O`N
,.Y
Address: 203 Melton Dr Fort iFierce, FL 34982
Property Tax ID #: '3403-805-0129-000-7 Lot No. 9- 10
.Site Plan Name: HAZELLIEF SOALR PANEL Block No. 7
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Project Name: HAZELLIEF SOALR PANEL
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DFETAIi.ED'DESCR`IPTION �OF UUORK
11..6 KW PVj'SOLAR PANELS INSTALLATION ROOF MOUNTED
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New Electrical Meter Second Electrical Meter (Affidavit required)
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Additional work to be performed under this permit — check all that apply:
_,Mechanical _ Gas Talnk _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_/ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
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Total Sq. Ft of Construction: 543,75 Sq. Ft. of First Floor:
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Cost of Construction: $ $51,400 Utilities: —Sewer _Septic Building Height:
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OrtR/NER/L'ESSEE
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CON; ;RACTO.R y
Name DONALD &.DIANE HA2ELLIEF
Name: MICHAEL C. PASTERNAK
32 N Gillock RD
;Address:
Company: ATLANTIC KEY ENERGY
City: GLASGOW state: KY
Address: 7006 STAPOINT CT STE 8
City:-. WINTER PARK State: FL
Zip Code: 49141 Fax:
Phone. No(502) 902=810 .1 E-
Zip Code.. 32792 Fax:
Mail: areenherontrasport[a)-grnail.com
Phone No 407-819-4000
Fill in fee simple Title Holder on next page (if different
E-Mail PERM ITTI NG@ATLANTICKEYENERGY.COM
from the Owner listed above)
State or County License EC13009713
If value of construction' is 2500 orj more, a RECORDED Notice of Commencement is required.
If value of HAVC Is $7,500 or more; a RECORDED Notice of Commencement is required.
SU,PP,'LEMENTA,Lq'CONS�TRlUCT,ION
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LISENF'L'AW`INFORiMATION•
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DESIGNER/ENGINEER:
,Name:
'Address:
City:,
Zip: Phone IIJ
_ Not Applicable
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MORTGAGE COMPANY: _ Not Applicable
Name -
f ;l
it State:
Address:
City: State:
Zip;: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address: li.I
City: I
Zip: Phone: I1'!
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_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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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 repprese.ntation'that Is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any appplIicable Homeowners Association rules,, bylaws or and coenants that may restrict or prohibit 'such
structure. Please consult with'your Nomeowners Association and review your deed for any restrictions which may apply.
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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 pla's, 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-resldentlal 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 attornevlhefore commencing work- or recordin& vour Notice of Commencement.
Builder as applicable
Signature of contractor- or-- O.wner
STATE OF FLORIDA
COUNTY OF SAINTLUCIE
Sworn to (or affirmed),and._subscribed
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before -me of Physical Presence or Online Notarization
this; 04 day of". MARCH
! 2022 by
it
Name of person making statement.
Personally Known _�L OR Produced Identification
Type of Identiflcatlon Produc
i
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(Signature of Notary Public- State
of Florida)
Commission No.. HH124396
I(Seal) p°"t, a� Mana�Ntn gFbMn
�n Esrj.ro O� 607?I)Hit124M
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