HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:-\v zA \k Permit Number:
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• RECEIVED s
Building Permit Applicatio
Planning and Development Services NOV 2 g ;;p)g
'Buildingand Code Regulation Division
ST. Lucie County, Permittin '2300 Virginia Avenue, Fort Pierce FL 34982 g
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical aVANNF_UJJJ
PROPOSED IMPROVEMENT LOCATION?,
Address: 438 S NARANJA AVE
Legal Description: RIVER PARK -UNIT 4 BLK 32 LOT 12 (MAP 34/27N) (OR 1031-1154; 3986-50)
Property Tax ID #: 3419-530-0012-000-0
Site Plan Name:
Project Name: Entrom
Setbacks Front Back:
Right Side: Left Side:
I INSTALL ROOF MOUNTED SOLAR PV SYSTEM. 20.060KW
Lot No. 12
Block No. 32
CONSTRUCTION INFORMATION:,.
Mona wor to
11HVAC
a er
orme un
Gas Tank
er t is permit— check
❑Gas Piping
a
apply:
_ Shutters
❑ Windows/Doors
Electric
0 Plumbing
Sprinklers
ElGenerator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:
$ 40120
Utilities:12Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Paul S Entrom
Name: DANIEL YATES
Address: 438 S Naranja AVE
Company: GULF ELECTRICAL SERVICE
City: Port St Lucie State: FL
Zip Code: 34983 Fax: N/A
Phone No.7726431684
Address: 4897 W. WATERS AVE
City: TAMPA State: FL
Zip Code: 33634 Fax: NIA
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@GMAIL.COM
State or County License: EC13001255
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWrJNFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:_
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 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 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 wprrkor recording Y9trNlDtice of Commencement.
4
Signature ff Owner/ Lessee/Con actor as Agent for Owner
Signature o ontractor/Lic . se Holder
;STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF ST LUCIE
COUNTY OF ST LUCie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this a.bday of /V O✓
2018 by
this aN day of NOV . 2018 by
P0., r✓
Name of person making statement
Name of per of making statement
Personally Known OR Produced Identification x
Personally Known OR Produced Identification x
Type of Identification
Type of Identification
Produced DL
Produced DL
(Signature of Notary Pu i.�,dt
of�
(Signature of Notary Pu i to ofN'��rr�i;c Stare of Florida
Commission No.
MY ' so� G zae67t
Expa(c5®®Ij612022
Timothy Coffey
Commission No. $ < My Core GG 248671
022
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REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
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DATE
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DATE
I COMPLETED
Rev.8/2/17