HomeMy WebLinkAboutBUILLDING PERMIT APPLICATIONALL APPLICABLE INFO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED f _ )<
Date: lkc6 7- Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR:
Address: 602 Willows Ave Port St Lucie, FL 34952
Legal Description: RIVER PARK -UNIT 2- BILK 19 LOT 8 (MAP 34/22N) (OR 1433-1490)
Property Tax ID #: 3419-510-0239-000-5 Lot No. 8
Site Plan Name: Block No.
Project Name: Bright PV
Setbacks Front Back: Right Side: Left Side:
�D£TAILED DESCRIPTION °OF
Install solar photovaltaic system
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Additional work to e e orme under
E]
this permit— check
a apply:
1]HVAC Gas Tank
Gas Piping
_ Shutters
❑ Windows/Doors
Electric ❑ Plumbing
Sprinklers
ElGenerator
E]Roof Roof pitch
Total Sq. Ft of Construction:
S . Ft. of First Floor:
Cost'of Construction: $ 19470.00
Utilities: Sewer 0Septic
Building Height:
taUt/Ni/LES5EE ', �`. ff 3CONTRACI"OR
, '
. r• .. „^t. sr ' ,; J 4 ri, t F.,>' S xP.d ,5 Y E.n«a..3 Rk .'.^a t,,
Name Darryl & Ruby Bright
Name: Raymond Mead
Address: 602 Willows Ave
Company: LSCI, INC
Address: 4625 East Bay Drive # 305
City: Port St Lucie State: FIL
Zip Code: 34952 Fax:
City: Clearwater State: FL
Phone No. (772) 485-9958
Zip Code: 33764 Fax:
Phone No. 727-571-4141
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail: Permits@suntecsolarenergy.com
from the Owner listed above)
State or County License: CVC056656
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
7A
40
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: _
Not Applicable.'
Name:
Name:
Address:
City:
State:
Address:
City: State:
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY: _Not
Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 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 inten obtain financing, consult with lender or an attorney before
comma work rece rdin r Notice of Commencement. <Z
as Agent for Owner
Contra ctor/Lic(arise Holder
STATE OF FLORIDAq� % STATE OF FLORIDA
COUNTY OF J7L�c� _( COUNTY OF
� Q�1,
The or oing instrument was acknowledged before me
this' day of 20 lay
Raymond Mead 1
(Name of person acknowled
?,��'+,;,, JALIN MOBL
=,�jtLW,I Commission # FF46
,;a,�` My Commission pir
(Signature of Notary Public
The f r oing ins rument was acknowledged before me
this day of 20�'a_ by
Raymond Mead
'�A"e of person ackn
"",
n n
r '�
JALIN MOBLE
Commission # FF 94
7
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My Commission Expi
s
February 20, 20
Personally Known OR Produced Identification Per finally Known OR P
Type of Identification Produced Type of Identificatio Produced
,�
Commission No. (Seal) Commission No. — "ltnq -) (Seal)
Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS