HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED D
Date: , Permit Number:
RECEIVED
Building Permit Application
Planning and Development services O C T 0 3 2018
BuilLg and Code Regulation Division ST, Lyc
2300I Virginia Avenue, Fort Pierce FL 34982 �� S9dntY, Permittin
Pho i e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
Address: 120 NE CAPRONA AVE
Legal Description: RIVER PARK -UNIT 4 BLK 41 LOT 6 (MAP 34/28N) (OR 3988-1631)
Property Tax ID #: 3419-530-0266-000-5
Site Plan Name:
Project Name: MCFARLANE
Setbacks Front Back:
Right Side: Left Side:
INSTALL ROOF MOUNTED SOLAR PV SYSTEM. 8.85KW
Lot No. 6
Block No. 41
Additional work to be ertormed under tnls permit— cneCk all apply:
�HVAC ri Gas Tank Gas Piping _ Shutters Windows/Doors
Electric En Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 17700 Utilities: Sewer Septic Building Height:
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Namel EARLE MCFARLANE
Name: DANIEL YATES
Address: 120 NE CAPRONA AVE
Company: GULF ELECTRICAL SERVICE
City: Saint Lucie West State: FL.
Zip Code: 34983 Fax: N/A
Phone No. (321) 360-6326
Address: 4897 W. WATERS AVE
City: TAMPA State: FL
Zip Code: 33634 Fax: N/A
Phone No. 727.218.9407
E-Mail: N/A
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: BAPROJECTSOLUTIONS@GM!A�IL..COM
State or County License: 2--I 26 3
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
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1EN ST lkl
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_ Not Applicable
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MORTGAGE COMPANY: _ Not Applicable
Name:
ress:
Address:
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City.
Zip:
State:
Phone
City: State:
Zip: Phone:
FEE
SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Na
e:
Name:
ress:
Address:
Ad
City:
Cit
Phone:
Zip: Phone:
Zip:
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 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
structire. 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 accprdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fc Mowing 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
befo�e the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Sign
tune of Owner/ Lessee/Contractor as Agent for Owner
ture of ontractor/License Holder
STATE
OF FLORIDA
STATE OF FLORIDA
COUNTY
OF ST LUCIE
COUNTY OF ST LUCIE
The
this
for oing instrument was acknowledged before me
l ` day of GC* 2018 by
The forgoing instrument was acknowledged before me
this 2,_ day of QC* 2018 by
&'( L2 h(\C (:C r 1CvA
'OcG6an W c-'rLIVIS
Name of person making statement
Name of i1erson making statement
Personally
Known OR Produced Identification X
Personally Known OR Produced Identification X
TypT
of Identification
Type of Identification
Produced
DL
Produced DL
AY
A
(Signature
Commission
of Florida)
of N I' - St
No. +R NotaryPublic �q
f{ 04fFlonda
hy Co ey
My Commission GG 248671
p� Expires 08/15/2022
(Signature of N
��� Notary Public Stat f FI da
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Commission N Timothy Coffey ,�ea
y ammission GG 248671
o►A Expires 08/15/2022
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SUPERVISOR
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COUNTER
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DATE
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COMPLETED
Rev. 81 2/17