HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater'ikq �`� Permit Number:
Building Permit Applicati
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578 Commercial
RECEIVED
APR 0 8 2019
ST..Lucle CounSaANIMM
St. Lucie
Residential xx
PERMIT TYPE Building (Alteration)
PROPOSED INPROVEMENT L®CA `' ` ION
Address: 1717 Primrose Court, Port St. Lucie, FL 34952
Property Tax ID #: 3426-703-0150-000-1 Lake Lucie Estates Plat No. One
Site Plan Name: Dean Ruscoe Project
Project Name: Dean Ruscoe Project
Installation of roof mounted PV (photovoltaic) Solar System
Lot No.136
Block No.
.A • ,
Additional work to be performed under this permit -,check all that apply:
_Mechanical —GasTank, _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing y Sprinklers _ Generator -Roof Pitch
Total Sq. Ft of Construction: ti Sq. Ft. of First Floor:
�f ,
Cost of Construction:$ 18,647.50 Utilities: _Sewer _Septic Building Height:
OUVNER`/LESSEE-::DEAN, RUSCOE '
: ��'CONTRAC-TO,RGOL®N
'QLAR LLC
Name Dean Ruscoe
Name:.Daren Goldin
Address:171,7;Prmrose Court; _
Company: Goldin Solar, LLC .. ,
City:, Port St Lucie, FL' ' e' ,: '
Zip Code 34952
Phone No.772-7 B 3216
State:
Address 3447 PetcivaPAvenue • . i
q
City. Miami State: FL
Zip Code:-33133 " -Fax:
Phone No 305-469-9790
E-Mail: ecomaniac@bellsouth.net
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPL'EMENTALCONSTRUCTION LIEN ,LAW INFORMATION
<
r�t
DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY: _
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _
Not Applicable
BONDING COMPANY: _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
commeninia work or recordin¢ vour Notice of Commencement. 1___7
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
Miami
COUNTY OF c (`P
COUNTY OF -IDZlde
The f�o�r oing in ent was acknowledge before me
The forgoing instrument was acknowledged before me
this rn�• day o of, I— 20a by
this i_I day of MaYCh 20 I'll by
envi) M- Ao� or~')P
`Darer t,okl&in
Name of person making statement.
Name of person making statement.
/
"
Ang
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identifi ati
Produce
Type of Identification
Produced
Produced
(Signature of Notary Pu liog' ;1;Qf Floridl5S)ACMARTINEZ
(Sin ure of Notary Publi �Fleledq Public Stated Florida
Notary Public -State of Florida
COmmi531on No. a C9���;vnsGG 144396
J011ett0 Re
Commission No. c ' MyP gob p9lon GG 288924
8x �r63�9 R18@D23
•.,, ,c...-..• MAN Oct 24.2021
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DATE
RECEIVED
DATE
COMPLETED
KeV.9/2b/16