HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �{
Date:3 'A > Permit Number:
RECEIVED
-- Building Permit Application MAR 0 5 2019
Planning and Development Services ST. Lucle County, Permittin -
Building and Code Regulation Division -- —
2300 Virginia Avenue, Fort Pierce FL 34982
Ph6ne:(772)462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line BY
PROPOSED IMPROVEMENT LOCATION:
Address: 63 NETTLES BLVD JENSEN BEACH, FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 63 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 449-1259: 1348-538)
Property Tax ID #: 4502-501-0249-000-8 Lot No.
Site Plan Name: Block No.
Project Name: PV THOMAS
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
INSTALL A KW SOLAR PHOTOVOLTAIC SYSTEM
CONSTRUCTION INFORMATION:
11HVAC U Gas Tank
Electric 0 Plumbing
Total Sq.'Ft of Construction: _
Cost of Construction: $ 19836.00
Piping
Shutters
❑
Windows/Doors
nklers
0 Generator
1:1
Roof
=
Roof pitch
SqI FFtt.� of First Floor: _
Utilities: Sewer []Septic
Building Height:
OW N ERAESSE E:.
CONTRACTOR:
Name THOMAS, WAYNE
Name: RAYMOND MEAD
Address: 63 NETTLES BLVD
Company: LSCI INC
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. (240) 350-1012
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: STILLHAZEGRAYANDUNDERWAY@GMAIL.COM
Fill in fee simple Title Holder on 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 of Commencement is required.
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
MORTGAGE COMPANY: X Not Applicable
Name: JOHN ALGER Name: _
Address: 4105 SAINT JOHNS PKWY Address:
City: SANFORD State: FL City:
ZIp.:-32T71 Phone:800-s29-3s1s Zip:_
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Phone:
x Not Applicable BONDING COMPANY: Not Applicable
Name: _
Address:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie CountyY makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, 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 coAcurrency 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 work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as
STATE OF FLO A STATE OF FLORIDA
COUNTY OF_ VCXNM Vi(XI[ l I COUNTY OF 0-9e-O a
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this22- day ofOPtYsw� 20�by this 2—dayof20/�by
t-.l C Ln
(Name of person acknowledging )
(Signature of VUtaryPublic- State of Florida )
Personally Known J/OR Produced Identification
Type of Identification Produced
Commission No. 2=466(23
Revised 07/15/2014
RAYMOND MEAD
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Known V"OR Produced Identification
No. (c /�„nJ�(
136238
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