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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-. All APPLICABLE INFOMUSTMUST BE COMPLETEu wOR APPLICATION TO BE ACCEPTED c� Date: 5 ��J `� \ Permit Number: ` `�� SJ 1 5$ SCANNED RECEIVED `%' , B Y St. Lucie County MAY 0 7 2019 4 A j Building Permit Applic `iQ[AEIc cevnty, Permltting 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 Residential X PERMIT TYPE: Solar Electric System } 'Aw "" �+ f ' . '" "el,'` PR@POSEDtPRCVE9 ENTLOCAC(4N *t.ur,,, Address-1a03 Indian Rive Dr Fort Pierce; FL 34982 Property Tax ID #: 3507-323-0002-000— J Divan Project Name 't(ON W QILED QESCf oF' pRfC .:s Installation of a Solar Electric System COIVS7RUTII�NI IfFORMAT�Of­ft.'....a,:., _. Utilities: _Sewer _Septic Sq. Ft. of First Floor: Cost of Construction: $ 34,900 Total Sq. Ft oftt Construction: t ! 5€o-v " t { T J"py� ' x t yb L�{ic4 S V�'u� V i' �xr� '* °3 tY• 'fW £"dMf' .Hd FLoof)PlA1N DEVE OPMENT'ERhIiITfor Eruct res,exernptframll3ulfftgCodethatareilrlthe ` t* • "' `' �, `�.t� i" 4m�' *£�G.a,�it�r'�,y °'�#*'��"�,j 'a.s°���, ro�ia� "+e°'�, �`�"°��.',�a� jxa c L-�` a � � t'..ta� �''�k Y8'Y ,e���`� v€"'4;,3.—g ',t"�'€§s '�w t"" °Fi�yk 9kw,,'''n'i` .'s.�ja§t':'>nsd ',: y,°"m A`: 'tr n,.•',"aFSy, ` I+hxnresidentfal Farm t itdurg M Temp f3fdg JSned used exciuslvelyfor constru ton " ` `' Bld Inr nlve tmdtstrtb a# electricif n ¥ - IVlc�b�le/Nlodularfariem constructs©nofce g d,b y aOttier, € _ Mood Zone BFE fVD RtSe CertlftCate�wlth supportin�'da'ta attaCfted? Y�(V �k +: , .= ��>4 r�- Xk�. S' 3: t a g AF 'S iF d 'E•C ,.F rF � 4}. ti P ' n > b �"x €Y L_ 4t� 't , :4 A federal be to Commencement of All otherapp4cable state and permits shall Dbtatned prior x e v'< Rm�:: ,zs .... tT" ',. qT, a h��• S S' 3 .' ata` -,.t"4 &'n � R ,.a d t'*-A�eA.'F?i S �`^a'Lffi-.-:`£v ,i ..e5 i-h�b�it NY _.a t, .. ,.;.a`x ui n.=" e(°. T(' {. � rv•.Y'$fe {i'rtRi r^. c'G-Sq xS. Name Daniel Divan Name: Erik F. Delaney , Address: 7203 Indian River Dr Company: Climatic Solar City: Fort Pierce, FL State: _ Address: 650 2nd Lane City: Vero Beach State: FL Zip Code: 34982 Fax: Phone No.772-468-7986 Zip Code: 32962 Fax: 772-5674553 E-Mail: Justdandy46@yahoo.com Phone No 772-567-3104 Fill in fee simple Title Holder on next page ( if different E-Mail office@cliamticsolar.com State or County License CV56671 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 RECORLco notice of Commencement is required. SUFPLEItitIENT/kL G4NSTf2UCT101V 1lEN LA,W DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: John tN9er Name: Address: 4105 St John's Parkway Address: City: Sandford State: FL City: State: Zip: 32771 Phone 800-9293919 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ 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 commencing work or recorAigg your Notice of Commencement. Signature -of Owner/ Lessee/Contras or as Ag .for Owner Signature of Contractor/Licens Ider STATE OF COUNTY OFORIDfG��1y-f/ COUNTSTATEOYOFORID_"C' The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me 7y thisrday of d" I ( 26JR by this day of 1--'(Gt � 20/17 by �GGi I Pt� li(! i%PGGYI Pv Name of person statemen . Name of person making statement. making Personally Knowny OR Produced Identification Personally Known V OR Produced Identification Type of Identification Type of Identification Produced ti ���— Produced , /� ry�/,� 1 ojy/ll lil Y X� Ignature of Nota Public- State of Florida) (Signature of ary ;v"'•�'"' MAN44�A� �s` �' AMANDA S WARREN ��1fONWARREN Commission No.OMMfS ` - g# GG749063 Commission No. OMM($WII! # GG149063 EXPIRES October 08, 2021 EXPIRES October 08, 2021 REVIEWS FRONT SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE ZONING COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.1/9/2019