HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED
Permit Number:
St. Luce County [RECEIVED
Building Permit Applic JUN 19 2019
Planning and DevelopmentServices ittin De artment
Building -and Code Regulation Division g p2300VirginiaAvenue,FortPierceFL34982 cie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 8403 FORT PIERCE BLVD. SAINT LUCIE. FL 34951
Property Tax ID #: 1301-608-0127-000-9 Lot No. 22
Site Plan Name: LAKEWOOD PARK Block No. 92
Project Name: EUGENE MORDAS PV SYSTEM
DETAILED DESCRIPTION OF WORK:
INSTALLATION OF GRID -TIED PV SYSTEM
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 20,347.50
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name EUGENE MORDAS
Name: NEAL BURDICK
Address: 8403 FORT PIERCE BLVD
Company:yiiinwR HOME FLORIDA. INC.
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. (203) 681-1564
Address: 7575 KINGSPOINTE PARKWAY SUITE 11
City: ORLANDO State: FL
Zip Code: 32a1n Fax: (407)502-7055
Phone No (4o7)3na.ao9s
E-Mail: SOLORIDERGENE(&NETSCAPE.NET
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mall NEAL BURDICKOWINDMARHOME.COM
State or County License E00002179
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: MIGUEL A ALVAREZ VELEZ
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: T575 KINGSPOINTE PARKWAY SUITE 11
Address:
City: ORLANDO State: FL
Zip: 32819 Phone (407) 308-0099
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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
"YARNING 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
WLTR YOHNIZNDER-OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
S na re n r/ Lessee/Co ractor as A n-tibr Owner
Signature of Contractor/Lice
STATE OF FL�RIDA
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisl7TN dayof JUNE .20_tg_ by
thisl7TH dayof JUNE .20,UL by
CHAD ROGERS as POA for EUGENE MORDAS
NEAL BURDCIK
Name of person making statement.
Name of person making statement.
Personally Known X OR Pro ntificWtMACARMONA
Pe sonally Known _ X OR Produce , '
' '
Type of Identification MYCOMMISSION#GG21
9g0/ aof Identification
MONICA CARProduced
EXPIRES: APR 30,202
WOO
o�,,,,,,�
Pr duced rMYCOMMISSIONBonded
through 1st State Insu
ance EXPIRES: APR 3
Bonded through 1st St
(Slgnatdre of Notary Public -State of Florida)
(Si re of Notary Public- State of Florida )
Commission No. GG212960 (Seal)
Commission No. GG212960 (Seal)
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Rev. 217/19