HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q(�
Date: Permit Number: Im'
RECEIVED
Building Permit Application FEB 112019
Planning and Development Services Permitting Department
-Building and Code Regulation Division - - _ _ _ _ _ _ St.. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
1 PERMIT APPLICATION FOR: Other ea J.'. _151Y_ Ili
Address: 4101 AVENUE Q FORT PIERCE, FL 34947
Legal Description: SUNLAND GARDENS -SECTION 4- ELK 45 LOT 2 (0.27 AC) )(OR 3357-182)
Property Tax ID #: 2406-506-0002-000-9
Site Plan Name:
Project Name: PV MITCHELL
Setbacks Front Back: _
Right Side: Left Side:
INSTALL A KW SOLAR PHOTOVOLTAIC SYSTEM
UHVAC L.JGas Tank
ZElectric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 24221.00
uu-wc�n au
Piping _Shutters
nklers ❑ Generator
S Ft. of First Floor:
Utilities:❑ Sewer 0 Septic
Lot No.2
Block No. 45
❑ Windows/Doors
❑ Roof ❑ Roof pitch
Building Height:
OWNERjLESSE4 M "g b"CDNTRACOR
-E f
Name MITCHELL, HERMAN 8 LINDA
Name: RAYMOND MEAD
Address:4101 AVENUE Q
Company: LSCI INC
City: FORT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No. 772-979-4114
Address: 4625 E BAY DR STE. # 305
City: CLEARWATER State: FL
Zip Code: 33764 Fax: 727-683-9854
Phone No. 727-571-4141
E-Mail: HERMANMITCHELL1008@GMAIL.COM
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
E-Mail: PERMITS@SUNTECSOLARENERGY.COM
State or County License: CVC056656
If value of construction is $2500 or more, a RECORDED Notice or t.Ommencement is requirea.
Name: JOHNALGER
Add resS:4105 SAINT JOHNS PKWY
City: SANFORD State: FL
Zip: 32771 Phone: 800-929-3919
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name: -
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name: - - - —
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
_Not Applicable
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 ano 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
cnmmencine work or recordine vour Notice of Commencement. ./
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ��/ (� .� �q� COUNTY OF Os'C e0 (-4-
The fgg((ggDing instrument was acknowledged before me
this a day ofaRQ_f AW C— 20 ,Rby
1
(Name of person acknowle g'ng )
(Si of Notary Public -State of Florida )
Personally Known X OR Produced Identification
Type of Identification Produced
Commission N SITYLA COH:
State of Florida -Not,
Cnmmission 8 GG
"'!iiin�°- � June ]
Revised 07/15/2014 ....+..�...Ju�-
The forgoing instrujj��ent was acknowledged before me
this ��day ofQ� 20 � by
RAYMOND MEAD
(Name of person acknowledging
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
No.
of Florida
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