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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� n
Date: 7/3/19 Permit Number:
SCANNED
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Building Permit Application 6101 of ins
Planning and Developm en t Services o3N303ti
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:Solar Pool Heating System
PROPOSED INPROVEMENT LOCATION:
Address: 7400 Reserve Creek Dr. Port St Lucie, FL 34986
Property Tax ID #: 3322-601-0036-000-4 Lot No.
Project Name: Howard Tipton
DETAILED DESCRIPTION OF WORK:
Solar Pool Heating System
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 4100 Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building:_ Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity: —
Other: Flood Zone:_ BFE:_ Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNER/LESSEE:
CONTRACTOR:
Name Howard Tipton
Name: Erik DeLaney
Address. 7400 Reserve Creek or
Company: Climatic Solar Corporation
City: Port St Lucie State: L=
Address: 650 2nd Lane
City: Vero Beach State: FL
Zip Code: 34986 Fax:
Phone No.407-927-1177
Zip Code: 32962 Fax: 772-5674553
E-Mail: hmtipton.hm@gmail.com
Phone No 772-567-3104
Fill in fee simple Title Holder on next page( if different
E-Mail office@climaticsolar.com
State or County License CVC56671
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL` C0NSTRUCTl6N LXN LAIN,INFORMATIO' C'
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City:
State:
_
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count yy 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 inspectiQgn. If you intend to obtain financing, consult with lender or an attorney before
commencine work or r6dardina vour Notice of Commencement. . n
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _; A_ A;M V✓P1 COUNTY OF .dro/1 P MW
The forgoing instrument was acknowledged }be,fore me The forgoing instrument was acknowledged before me
this /(0-day of90AI 20&by thisV_dayof20[Lby
C-1-1',- T7 /-.r am t �
(Name of person acknowledging) (Name of person acknowledging )
(Signature of NotaryuOic-State of Florida ) (Signature of Notary public -State of Florida )
Personally Known-4 OR Produced Identification Personally Known'� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.0 Y JC- /OI'0 (Seal) Commission No / G (Seal)
AMANDA S WARREN A
'e MY COMMISSION # GG149063 �, MY COMMISSION # G0149063
Revised 07/1.5 Z EXPIRES October 08, 2021 '+'pf•;,, EXPIRES October 08, 2021
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