HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/26/2019
Planning and Developmenf5enrices
Buildingand Code Regulation Division- -
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578
SCANNED Permit Number: I `1 OS aso
BY RECEIVED
St. Lucie County
Building Permit Application MAY 0 71019
�ermitting-Department
St. Lucie County
Commercial Residential xx
PERMIT TYPE: Building (Alteration)
PROPOSED'I ROU a � H n � r1 � c � x : s ft ,
w_„_,Y.,_ ,_EMENT LOCATION 21,0,1.:Rivger Hammock Lane,�F y x a.•_
Address: 2101 River Hammock Lane, Fort Pierce, FL 34981
Property Tax,ID #: 3404-313-0011-220-8 Lot No.12 & 13
Site Plan Name: Scott & Susan Bacher Project Block No.
Project Name: Scott & Susan Bacher Project
Installation of roof mounted PV (photovoltaic) Solar System
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank" _Gas Piping _Shutters
_Electric _Plumbing• _'Sprinklers _Generator
-Windows/Doors
Roof Pitch
Total Sq. Ft of Construction: Sq. Ft: of First Floor:
Cost of Construction: $ 44,610.00 Utilities: —Sewer _Septic Building Height:
'OWNERt/LESSEE-:SC®TT & S SAaN,,�BAC,KER �
C=ONTRACwTOR'GOp L'�pIN SO+ R, LLC "`:
Name Scott & Susan Bacher
Name DaremGoldm — a
,..w.,..-., .:.:... -:.r •..-.`.i�.1 ^ten
Address... River Hammock Lane
Company: Goldin Solar,.LLC,-;= p
City: Fort Pierce, FL`, State:_
Acidress:3447PercivelAvenue�•.^- i
^'34981 - ",
Zip Code: ^"Fax:
Miami ' ' x FL
City:- ,-z-..-.._.,_-_-_ 6 State:_
Phone No.575-513-2187
Zip Code: 33133 Fax:
Phone No 305-469-9790
E-Mail: srbacher@gmail.com
Fill in fee simple Title Holder on next page (if different
E-Mail permitting@goldinsolar.com
State or County License CVC56965
from the Owner listed above)
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.
SUPVPLEMENTALCONSTRUCTION LIEN LAW
INFORMATION��r�x
N d M
$�* � a "F},�;
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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.
e County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
sin conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
re. 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
commencing work or recording vour Notice of Commencement. . I
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA `` STATE OF FLORIDA
COUNTY OF �T � �— COUNTY OF _Ml 6M, — oaCi2
The fyr oing instrj� ent viai acknowledge before me The forgoing instrument was acknowledged before me
this `�-- day of l 1 fN , 1 ,20 by this2-1 day of Maych .201A by
&4 P� Y__ 'Darer CGold(n
Name of person making statement. Name of person making statement.
Type of
Known
OR Produced Identification V Personally Known ✓ OR Produced Identification
p/ p.�+,p� Type of Identification
101 LIO 5�I�AO `.J.__ _ _Produced
LaYP 9Na�7-°`°"""'"""" (SiureofNota Public t to
• Cwnmussian q GG 16725a Notary Nt Public State of Florida
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No. '•..a .fP•' °,,,,�� Ag"INouuynv... Commission No. My seion GG 2e992a
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE