HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: %10
-Ma RECEIVED
Building Permit Applicatior MAR 2 6 2018
Planning and Development Services ST. Lucie County, permitting
Building and Code Regulation Division - -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical I
PROPOSED IMPROVEMENT LOCATIO`N:,,
Address: 4820 Grovers RD, Fort Pierce, FL 34951
Legal Description: FROM SW COR OF SW 1/4 OF NE 1/4 RUN N ALG 1/4 SEC LI 408 FT, TH E// WITH S LI OF SW 1/4 OF NE 1/4 440 FT FOR POB
TH CONT E 499.13 FT M/L TO W LI OF E 386.77 FT OFSW 1/4 OF NE 1/4, TH N ALG SD W LI 586.3 FT M/L TO S LI OF N 338.5 FT OF SW 1/4 OF NE 1/4
Property Tax ID #: 1313-132-0006-000-2 I Lot No.
Site Plan Name: Solar Project I Block No.
Project Name: Miller Solar Project
Setbacks Front Back: Righi Side: Left Side:
DETAILED DESCRIPTION OF WORK: 1
Installation of Solar Rooftop PV System - 17
CONSTRUCTION INFORMATION.
AdditionaiworKtoijenertormed under this permit —check all apply:
�HVAC Gas Tank 11 Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing OSpriniklers ElGenerator 11 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 56,775.00
S Ft. of First Floor: _
Utilities: —Sewer Septic
Building Height:
OWN_ ERAESSEE:
-CONTRACTOR:
Name Monica Miller
Name: Brandon Siegel
Address: 4820 Grovers RD I
Company: ESA Solar Energy, LLC.
City: Fort Pierce State: FL
Zip Code: 34951 Fax: I
Phone No. (772) 342-4888
Address: 801 International Parkway, Ste. 500
City: Lake Mary State: FL
Zip Code: 32746 Fax:
Phone No. (406) 461-7556
E-Mail: Monicamiller@gmail.com
Fill in fee simple Title Holder on next page if different
from the Owner listed above) i
esa-solar.com el
E-Mail: bsie 9 @
State or County License: EC13008032
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is regwreo. _;&G(o a1 I
S'U.PPLEMENTAtL.CONSTRUCTION LIEN LAW IN:FORMATION':
7
DESIGNER/ENGINEER: _ Not Applicable
Name: David K. Click
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 801 International Parkway, Ste. 500
Address:
City: State:
Zip: Phone:
City: Lake Mary State: FL
Zip: 32746 Phone (407)461-7556
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
'Address:
City:
City:
Zip: Phone:
I Zip: Phone:
I
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 it 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
in accordance with the approved plans, the Florida Building C
by agree that I will, in all respects, perform the work
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
improvements to your property. A Notice of Comme
before the first inspection. If you intend to obtain fir
commencinR work or recordinp, vour Notice of Comm
of Commencement may result in your paying twice for
icement must be recorded and posted on the jobsite
incing, consult with lender or an attorney before
encement.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA QQ�
STATE OF FLORIDA
COUNTY OF �f C�Ci�
COUNTY OF SgWJ�i d(-e
The forgoing instrument was acknowledged before me
this _day of I £IOt(lCt✓u 201? by
The forgojng instrument was acknowledged before me
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Name of person making statement
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Name of person making statement
Personally Known �_ OR Produced Identification
Personally Known I,>/,� OR Produced Identification
Type of Identification
Type of Identificatio_n
Produced
Produced
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(Signature of No ry Publ - r �Florid ® ERLY DIANE PURNELL
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Commission No. F - 9 (�nlsslon r FF 988327
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tev.8/2/17 I