HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONBI
All APPLICABLE INFO MUST BE COlvir'LcTED FOR APPLICATION TO BE ACCEPTED
Date: 4/19119 Permit Number:
rC97M-i APR 23-Z019
a,tment
• Per SCtt�nuge county
Building Permit Application
Planning and Development Services SCANNED
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 X t. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: SOLAR PHOTOVOLTAIC RESIDENTIAL
PROPOSED IMPROVEMENT LOCATION:
Address: 2806 KINGSLEY DR
Property Tax ID q: 1432-806-0104-000-3
Site Plan Name: SHERATON PLAZA -UNIT THREE REPLATLOT 236
Project Name: 2806 KINGSLEY DRIVE - SOLAR (2.79KW)
DETAILED DESCRIPTION OF WORK:
INSTALL ROOF MOUNTED SOLAR PV SYSTEM - 2.79KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
X Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 5,859
Sq. Ft. of First Floor:
Lot No. 236
Block No.
—Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ERNEST JOSEPH
Name: DANIELYATES
Address: 2806 KINGSLEY DR
Company: EFFICIENT,HOME SERVICES OF FLORIDA, LLC
City: FORT PIERCE State: FL
Zip Code: 34946 'Fax:
Phone N_ o._772-882-0762
Address: 9416INTERNATIONAL CTN
City: ST PETERSBURG State: FL
Zip Code: 33716 Fax:
Phone No 844-778-8810
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail PERMITTING@EHSFL.COM
State or County License EC13008759
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.
SUPPLEMENTAL CONSTRU
ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _
Name: DONNIE C. GODWIN
Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 8378 FOXTAIL LOOP
Address:
City: PENSACOLA State: FL
Zip: 32526 Phone 850-712-4219
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X
Name:
Not Applicable
BONDING COMPANY: Not Applicable
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signatur / Levee/CT
e ee/
tractor as Agent for Owner
Signature t t r/U nse litIder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF PINELLAS
COUNTY OF PINELLAS
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 19 day of APRIL
20 19 by
this 19 day of APRIL 20 19 by
-D i teL yJ=
_?hhIEL -*Ta5
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification X
Personally Known OR Produced Identification X
Type of Identification
Type of Identification
Produced DL
Produced DL
^^
V-..f.l• 1�FUK� li�
/ d ,y.,{/. �F Ua(l L..es.J_9.7C'
(Signature of Notary Public-
of Notary Public- S a
old,TARAN.DEVAULTCommission No. 117862 =? �-' Ion#GG117862
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mission No. 117862- ,�RSpe f❑,P
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ExpiresJune22,2021
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Expires June22�2021
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION SEA TURTLE
MANGR
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19