HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED V 1 O
Date: — fD -L Permit Number:
RECEIVED
01
Building Permit Application MAR 2 D tart
Planning and Development Services permittin®0e artmenSCANNE
St. Lucie �eNHEY
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie Cc
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
I'PROPQSED IMPROVEMENT -LOCATION:;
Address: 5304 Birch DR Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES -UNIT 07- BLK 51 LOTS 18 AND 19 (MAP 34/02S)
Property Tax ID #: 3402-608-0412-000-0
Site Plan Name:
Project Name: Sexton
Setbacks Front Back:
Right Side: Left Side:
INSTALL GROUND MOUNTED SOLAR PV SYSTEM. 12.20KW
Lot No. 18&19
Block No. 51
CONSTRUCTION INFORMATION:
LA
Aaclitional worK to De
E]HVAC
performe
a unclertnispermit—c
ec all
apply:
a
LJ
Gas Tank
Gas Piping
_Shutters
Windows/Doors
EElectric
0 Plumbing
Sprinklers 0 Generator
L
Roof Roof pitch
Total Sq. Ft of Construction:
St'. Ft. of First Floor:
Cost of Construction:
$ 24500
Utilities: Ind
Sewer Septic
Building Height:
,OWNER/LESSEE: '• . '
n
CONTRACTOR: '
Name Joseph Sexton
. Name: DANIEL YATES
Address: 5304 Birch DR
Company: EFFICIENT HOME SERVICES OF FLORIDA, LLC
City: Fort Pierce State: FL
Zip Code: 34982 Fax. N/A
Phone No. 7723326702
Address: 3121 INDIAN RIDGE PL
City: LAKELAND State: FL
Zip Code: 33810 -Fax: N/A
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: EC13008759
85
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMFNT4LCONSTRUCTION
LIEN LAW
DESIGNER/ENGINEER: Ix
Not Applicable
MORTGAGE COMPANY:
x Not Applicable
,1
Name _Von1„�_ 0- rn N ,,„
n
Name:
Address: 8 :ox4-nfl
LLooP
Address:
City: Pen sa ,+ l a
State: FL
City:
State:
Zip:32'5a,L. Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY:
x Not Applicable
Name:
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
o,•tarcnzz�rrtnirea�cm1
q!�4
Signature of O nefrL see/Contractor as Agent for Owner %jgnjAdre #I Contractor/License Holder
STATE OF FLORIDA
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this _JL__ day of Ft ,2019 by
SUS�h SCX-4--or�
Nance of person making statement
Personally Known OR Produced Identification x
Type of Identification
PrndureH DL
STATE OF FLORIDA
COUNTY OF 6TLUCIE
The forgoing instrument was acknowledged before me
thiss�qdayof ttlarrr% ,2019 by
O C� 21 \-I0n%-2,S
Name of person'making statement
Personally Known OR Produced Identification x
Type of Identification
Produced DL
�{i�4 �& ;,I&& 6h
(Signature of NotaryPublic- ate f Florida) (Signature of Notary Public- tate of Florida
COUNTER
Rev. 8/2/17
of Fldnd
i 248671
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