HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ
ALL APPLICABLE INFO (MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� ,� ^ 0V I�1
Date: Permit Number: j�IWI O vO
By
Bluffiflll eN 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
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Commercial Residential xxx c°���,�'t
PERMIT APPLICATION FOR: Other
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Address: 10761 Schwab Rd. Fort Pierce, FL 34945 ,
Legal Description: FT PIERCE GARDENS OF 21-35-39 BLK B S 195 FT OF LOT 4 AND E 15 FT OF W 1/2 OF
LOT 4 AND W 15 FT OF E 1/2 OF LOT 4-LESS RD R/W- (1.77 AC) (OR 623-2200; 4112-1450)
Property Tax ID #: 2321-501-0016-000-5
Site Plan Name:
Project Name: Gilmore, Dale
Setbacks Front Back: _
Right Side: Left Side:
INSTALL A 7.080 KW SOLAR PHOTOVOLTAIC SYSTEM
Lot No.
Block No.
Additional work to be ertormed under this permit— check all apply:
11HVAC Ei Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 28,258.00 Utilities:cn Sewer []Septic Building Height:
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'am e 1
Name: RAYMOND MEAD
Address: C7`7
Company. LSCI INC
City: EA= P io u 0 State: FL
Address: 4625 E BAY DR STE. # 305
City: CLEARWATER State: FL
Zip Code: Fax:
Phone No.
Zip Code: 33764 Fax: 727-683-9854
E-Mail:
Phone No. 727-571-4141
E-Mail: PERMITS@SUNTECSOLARENERGY.COM
Fill in fee simple Title Holder on next page (if different
State or County License: CVC056656
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
I
City:
Zip: Phone:
Zip: Phone:
I
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 Recoird 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 intend to obtain financing, consult with lender or an attorney before
commencing rk or recording our Notice of Commencement. w
SignQLTeof Owner/Lessee/Contractor as Agent for Owner
STATE OF FLO A
COUNTY OF
The fQrEong instru ent was acknowledged efore m le
thisef17 day of 20 Pby
c�
(Name of pe n 'acknowledging)
(Signature of Notary Public- tate o ida )
Personally Known xx OR Produced Identification'
Type of Identification. Produced
Commission No.
ors Notary Public State of Florida
€ & %N POLLY ALVAREZ HENANDEZ
Revised 07/15/2014 � Nj,; F Expires 07/1
1 ,llAP�
Sign re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF QS0_ 2 O 6a--
The forgoing instrument was acknowledged before me
this )eday of lAq�� 20 /e by
RAYMOND MEAD
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known xx OR Produced Identification
Type of Identification Produced
n No. 19G
No��eeqq���� lie State of Florida
WAl CORTES
My Commission GG 136238
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