HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMrLc i ED FOR APPLICATION TO BE ACCEPTED
Date: q,lq. S6 N hU Permit Number:
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Building Permit Application 1818
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Planning and Development Services l �fd ��@�R ��� ent
Building and Code Regulation D►v►s►on
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 9501 POINCIANA CT FT. PIERCE
Legal Description: /
MONTE CARLO COUNTRY CLUB -UNIT TWO- LOT 197
Property Tax ID #: 1334-502-0078-000-7/ Lot No. 197
Site Plan Name: HOLMES' PV / Block No.
Project Name: HOLMES' PV
Setbacks Front Back Right Side: Left Side:
INSTALLING A 5.31 KW
PHOTOVOLTAIC SYSTEM
E]Gas Piping
Sprinklers
❑ Shutters
Generator
QWindows/Doors
Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 19,787.00 Utilities: Sewer Septic Building Height:
Name ROBERT & E
Address:9501 POI
City: FT.PIERCE
Zip Code: 34951
Phone No. T
E-Mail:
i HOLMES
CT
State: FL
Fax:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: RAYMOND MEAD
Company: LSCI INC
AJddress: 4625 E BAY DR STE. # 305
City: CLEARWATER FL
State:
Zip Code: 33764 Fax: 727-683-9854
Phone No. 727-571-4141
E-Mail: PERMITS@SUNTECSOLARENERGY.COM
State or County License: CVC056656
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUP'PLEM`ENTAL CONSTRUCTI
'N LIEN LAW INFORMATION::
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
X Not Applicable
Name: JOHNALGER
Name:
Address: 4105 SAINT JOHNS PKWY
Address:
City: SANFORD
State: FL
City:
State:
Zip: 32771 Phone: 800-929-3919
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable I
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
I
Address: .
City:
I
City:
Zip: Phone:
Zip: Phone: I
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I certify that no work or installation has commenced prior to thel 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 lrules, 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. I
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 offliCommencement may result in your paying twice for
improvements to your property. A Notice of Commence iment must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement. n
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA� A_�:
COUNTY OF
The forgoing instrument was acknowledged before me
this � day of /IZi9?I, 20 �8'jby
(Name of persgn-aeknow, edging )
(Signature of Notar I, Public- State of Flori
Personally Known xx OR Produced Identifica 'on
Type of Identification Pro -ed _
Commission No.
t Notary Public State of Florida
:° POLLY ALVARFZ HENANDEZan 0
Expires07117/2021
Revised 07/15/2014
��A��`�'
of Contractor/License Holder
'ATE OF FLORIDA
)UNTY OF nSCP-- Ul-
Th'e forgoing instrument �� w""aspp acknowledged before me
this - day of (Wt.e` _ 20 E by
I
RAYMOND MEAD Notary Public State of Florida
(Name of person acknowledgin ) cI ,� MyCommisslonGG 138238
Ie& Expires 08/20/2021
I
(Signature of Notary Public- State of Florida )
Personally Known xx OR Produced Identification
Type of Identification Produced
ission No. 13 �ea3 9'
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