HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1-
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ALL APPLICABLE INFO MUST BE COMPLETED FOR
Date:
TO BE ACCEPTED
Permit Number:
_ • _ _ BY BuNWW'*6AH't Application "EcavED
Planning and Development Services MAY 11 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-1578 COM ercial Resid@��191 coy*
PERMIT APPLICATION FOR: Other .
Address: 4380 INDRIO RD. FT. PIERCE, FL 34951 1
Legal Description: 18 34 40 W 150 FT OF SE 114 OF SW 114 OF SE 1/4 OF NE 1/4-LESS S 40 FT-(1.01 AC)(OR 1414-1771)
Property Tax ID #: 1418-143-0035-000-0
Site Plan Name:
Project Name: KRULISKY, JOHN & GWYNETTE
Setbacks Front Back:
Right Side: 1 Left Side:
INSTALL A 5.310 KW SOLAR PHOTOVOLTAIC
❑HVAC ❑ Gas Tank
ZElectric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 20,381.00
Lot No.
Block No.
Gas Piping Ll Shutters a Windows/Doors
Sprinklers Menerator E]Roof Roof pitch i
S . Ft. If First Floor:
Utilities: DsIwer DSeptic Building Height:
I/rW� o!.s/6ssy E nyg%
: 9/
"Sk/04
Nam
n� �E ��if
Name: RAYMOND MEAD
Address: Lim 7,0Uo do iZ -
Companly: LSCI INC
City: Fl • 1::'ie/•(6 State: FL.
Address 4625 E BAY DR STE. # 305
Zip Code:34w Fax:
City: CLEARWATER State: FL
_
Phone No. —7 1 Z. Y-15" 52 S3
Zip Code:I 33764 Fax: 727-683-9854
E-Mail:
Phone No� 727-571-4141
Fill in fee simple Title Holder on next page ( if different
i
E-Mail: PERMITS@SUNTECSOLARENERGY.COM
State or County License: CVC056656
from the Owner listed above)
it value of construction is 52500 or more, a RECORDED Notice of Commencemeint is required.
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SU PL NIENTMAL G�;A , U �, OWN
DESIGNER/ENGINEER: _ Not Applicable
Name: JOHNALGER
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: 4105 SAINT JOHNS PKWY I
City: SANFORD State: FL
Zip: 32771 Phone: 800-929-3919 I
I
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
Address:
City:
_Not Applicable
Address: I
City: I
Zip: Phone: I
I
Zip: Phone:
I certify that no work or installation has commenced prior tP 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 Assocl tion rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Associatioh 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, sc{een 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�t-inspection. If you intend to obtain financing, consult with lend or an attorney before
rn comen.e g Wgrk or,reca�rding your Notice of Corn � encement. /7 1011
Own
STATE OF FL IDA
COUNTY OF 4—.e
as Agent for Owner
The fording instrument was acknowledgedC,b�fore me
this 11 day of 20 acknowledged
(Name of person acknowledging )
(Signature of Notary Public- Statel6f Florida
Personally Known xx OR Produce
Type of Identification Produced
Commission No.
Revised 07/15/2014
04�Se,�btary Public State of Floc
yp POLLY ALVAREZ HENANDE
S My commisalon G6 1251
Signature of Contractor/License Holder
STATE OF FL A
COUNTY OF
The forgoing instrument was acknowledged before me
this day of 120 \L by
RAYMOND MEAD
(Name of pegs
(Signature ofMotary Public- State of FI
Personally Know x OR Produced Id
Type of Identification Pro d
ission No. IF
Notary public State of Florida
POLLY ALVAREZ HENANDEZ
yA4V C,.jni1jj6nGO 125150
F-);Pirea07/17/2021
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