HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/21/19 SCANNED permit Number. � -lOs '0sr)ir)
-' St. LUC� CountyRECEIVED
• JUN 2 0 2019
Building Permit Application Permilhg Department
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 X
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: SOLAR PHOTOVOLTAIC RESIDENTIAL
PROPOSED, IMPROVEMENT LOCATION:
Address: 3408 Avenue S, Fort Pierce, FL 34947
Property Tax ID #: 2405-601-0075-000-0
Site Plan Name: SUNLAND GARDENS BLK 4 LOT 11
Project Name: 3408 Avenue S - SOLAR PV (1.83KW)
DETAILED DESCRIPTION OF WORK:
INSTALL ROOF MOUNTED SOLAR PV SYSTEM - 1.83KW
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
Lot No.11
Block No. 4
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3,019
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Mark D Bond
Name: DANIEL YATES
Address: 3408 Avenue
Company. EFFICIENT HOME SERVICES OF FLORIDA, LLC
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Fort"Pie"rce ` '
City_• State:`FL,
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Address: 9416INTERNAIIO�IAL CT N
Zip Code:' 34947.' ',, ; _ Fax:
City: ' ST PETERSBURG:. State: FL
Phone No,. 727-432-6870 ' r
Zip Code: 33716. Fax:
Phone'No 's4<1=97s-ssio"'--'
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mail PERMITTING@EHSFL.COM
State or County License EC13008759
from the Owner listed above)
It 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'CONSTRUCTION LIEN LAW INFORMATION:
Name: DONNIE C. GODWIN
Address: 8378 FOXTAIL LOOP
City: PENSACOLA State: FL
Zip: 32526 Phone 850-712-4219
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
X Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
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/ Lestee/Cofitractor as Agent for Owner
Signature of Contractor icen a Holder
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 21 day of MAY . 20 19 by
this 21 day of MAY 20 19 by
DANIEL YATES
DANIEL YATES
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Identification _
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
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Produced
Produced
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