HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr• , -
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number:
._ BY
St. Lucie County
Building Permit Applicai
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
PERMITTYPE:Soiar/Eiectrical
PROPOSED IMPROVEMENT LOCATION:
Address: 8606 Penny Ln, Fort Pierce FL 34951
Property Tax ID #: 1301-608-0192.OW .�5
Site Plan Name:
Project Name: Solar Photovoltaic System
DETAILED DESCRIPTION OF WORK:
Installation of Solar Photovoltaic Svstem
E���
APR 2 5 2019
Lucie County, Permitting
Residential x
CONSTRUCTIONINFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 20,000.00 Utilities: —Sewer _Septic
Lot No.4
Block No. 95
Windows/Doors
_ Roof Pitch
Building Height:
,.OWNER/LESSEE:
CONTRACTOR:
Name Ne ft-te.
Name: Ronnie Padgett
Address: %L06!'2ennt L
Marc Jones Construction LLC DBA Sun ro Solar
Company: P
City: &r% Rerce-State: —L
Zip Code: -Jg?, / Fax:
Phone No. 7777.2 171- t1/f1A
Address:4654 Eagle Falls Place
City: Tampa State: FL
Zip Code: 33619 Fax:
Phone N08138672686
E-MailAefrrf be.Qrr. iYU •p/Q{ f l . COM.
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailsptampa@theprocompanies.com
State or County License EC13001242
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.
CO�IS>TRwU,CTI®N'd/
TENLAUk+�
iNGORMATIO�1
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SUPPLEMENTAL
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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 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."
Signature of Owner/ Lesse /Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S+,- Lya,
COUNTYOF S�. �,,ale_
The for Ding instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisZFdayof April 201t by
this i"AayofArn/ 201 by
'/ N s r{
I1 ..inrtt �ad,
Name of person making statement.
Name of person makin statement.
Personally Known OR Produced Identification ��
Personally Known k'OR Produced Identification
Type of Identification
Type of Identification
Pro ced 4
Produced FL
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'Flo
(Si Lure of Notary P c- f Flo �r@o j
nature of Notary Public- Sta ) jam Montelomo
/, GG 129
Commission No. L^(i JR172,( (Seal) rn`02C1 1?9
M Commission
Com Sion No. &C 12 'lo,(SE � 07�12021
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REVIEWS
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SUPERVISOR
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MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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