HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED w
Date: Permit Number:
I MR �0 sti T RECEIVED
_._.__ � . NOV � 0 2018
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building dnd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 A
Legal Description: LAKEWOOD PARK -UNIT 7- ELK 75 LOTS 25 AND 26 (MAP 13/02N) (OR 2902-111) St Lucie Count
� - d
Property
ID #: 1301-607-0156-000-8
Site Plan Name:
Project Name:
Installation of Solar Photovoltaic System (22 Panels; Silfab 300)
Lot No.
Block No.
�HVAC _ Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Qi
Eliectric ❑Plumbing Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
i
Cost of Construction: $ 22,300.00 Utilities: _ Sewer Septic Building Height:
Name VL.,W.
Address: 7_,121 Sc n4t. C Jl ram, fl) yd
City:State:FL
Zip Code: 34951 Fax:
Phone No.(202)294-4620
E-Mails: crowexv1l @live.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:
Company: Marc Jones
LLC DBA Sunpro Solar
Address: ,912l M64 Ad
City:" _ AJe-ti; I% State: LA
Zip Code: 70471 Fax.
Phone No. 8138672686
E-Mail: sptampa@theprocompanies.com
State or County License: EC13001242
If value, of construction is $2500 or more, a RECORDED Notice of Commencement is reauired.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: i _ Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: I
Name:_
Address:
Address:
City:
City:_
Zip: Phone:
Zip:
Phone:
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 inj 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,
accessoryjstructures, 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
before t1he first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signatulre of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The for lgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1 day of 20_ by
this day of Oc46v , 20& by
Ronnie: M,6i
Name of person making statement
Name of peiYon making statement
Personally Known OR Produced Identification
Personally Known PiZ,— OR Produced Identification
Type of Identification
Type of Identification.
Produced
I
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
ateofF
Commission No.46 Um up=096
QgoGG 12!21
i
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ZONING
SUPERVISOR
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SEA TURTLE
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DATE
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DATE
r �zg�i
COMPLETED
Rev. 8/2/17�/
DESIGNER/ENGINEER: _ Not Applicable
Name: i
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:.
_ Not Applicable
State:
BONDING COMPANY: Not Applicable
Name: i
Name:_
Address:
Address:
City:
City:_
Zip: Phone:
Zip:
Phone:
OWNER/I 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
structure. P?lease 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,
accessorystructures, 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
before the -first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or rgWrding your Notice of Commencement.
I
Sig ture of 0 / Lessee/Contractor as Agent for Owner
j
Signature of Contractor icense Holder
STATE OF FLORIDA J)
STATE OF FLORIDA
COUNTY O
COUNTY OF
The for�ing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this jg �, day of ��w/ �, 20 Iy by
this -LOtAday of Qc46,r 20& by
LQ �e3 �a �!r►.s am
R n
Name of person making statement
Name of perYon making statement
Personally Known 4�C- OR I�anion
Personally Known * OR Produced Identification
Type of !Identification
Type of Identification
Produced
Produced
�I
(Signature of Notary Public- State o for j Notary Public State
C f 3riat a of Notary Public- State of Florida )
Jose'Montelongo
Commission No. y My CommissionGG
�' 1z72` a Expires 07/31/2021
;7276ry Pubilc State of F
@Moral Stato
ommis on No. C2 7.Z a °
OF tv
c
My Commission GG 12
Expires 07/31/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE,
COMPLETED
Rev. 8/2/17