HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dated ;�J IsIll Permit Number: �9da'03d(S
Planning and Development Services
Building -and Code -Regulation Division -
2300 Virginia Avenue, Fort Pierce FL 34982-
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit Application FEB 15 -r919
ST. Lucie County, Permitting
Commercial Residential .V'
PERMIT TYPE: Building (AItpCBtlOn)
`ao1'T0-�
St
.��
PROPOSED INP2ROEVEMENT LOCATION 913 JacksonyWay )Hutchinsongls]and FL
=�
Address: 913 Jackson Way, Hutchinson Island, FL-34949
Property Tax ID #: 1423-802-0024-000-8
Site Plan Name: Phil Defabio
Project Name: Phil Defabio F
Lot No. 22
Block No.
Installation of roof mounted PV (photovoltaic) Solar System St. LucieC'n�lr
Additional work to be performed under this permit— check all that apply:
_Mechanical I ' _Gas Tank '' _GasPiping _Shutters
_ Electric _ Plumbing =' y-Spriuklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 30,137.10
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
,OWNER%LESSE Philip -Edward Defablo �h :`
CONTRACTOR G Idln;Solar, LLC
Name Philip Edward Defabio ; �l
Name: Daren Goldin
Address: 913 Jackson Way w `.
Company: Goldin Solar, LLC
City:1gh,inson Island„F,L, State;_
Z1pC6dd`34949=ti-14f-3. Fa_x
Phone No.305-301 4475 ,; ;, ' :i
Address:3447 Percival Avenue
Y '
City: Miami State:.FL
Zip Code: 33133 Fax:"
Phone No 305-469-9790"
E-Mail:-", defabiop@gmail,coflj;'�,,,. S
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permitting@goldinsolar.com
State or County License CVC56965
due ofconstruction'is'$2500 or more, a RECORDED Notice of Commencement is required.
ilue of HVACis $7,500 or.more, RECORDED Notice. of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
...
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: = _'Not
Name:
Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not
Name:
Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNERS CONTI ACTOR�AFFIDVIT:-ApplicattoLi is h'ereby.rpade Yo obtain a permit to do the work and installation as indicated.
I certify that no work orinstallatio'n 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
ARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
mmencine work or recordine vour Notice of Commencement. /l
STATE OF FLORIDA
COUNTY OF TIVPTAIV
asAg or wner I Signature
STATE OF FLORIDA
COUNTY OF M(ami Ddde
The forggoing instrurryyee�nt was acknowledged before me The forgoing instrument was acknowledged before me
this t 1 day of f a A 20J7 by this .13 day of Q udY 201g by
Q►, ; �'.p �� Fa✓�; o 'wren Goldin
Name of pe son making statement. Name of person making statement.
Personally Known OR Produced Identification X
Type of Identification
Produced /�oTI�O-4-rr:�.rc ;G,r�S•-
REVI
COMPLETED
BENCSALTZ
Commission OGG 101734
My Comm. Expires Jul 9, 2021
Personally Known OR Produced Identification _
Type of Identification
Produced
(S ture of Notary Public- State of Florida:),-,
Commission No. N e l dFlorida
PLANS
COUNTER REVIIEEWW^I SUPERVISOR
R I REVIEW
GG 288924