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Home My WebLink AboutBUILDING PERMIT APPLICATIONI � I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q/�q Date: 8119/19 a'LAN/NED Permit Number: IDQ0 - 1 =T T111 ;t 1.I1CB CioU111yi RECEIVED • Building Permit Application AUG 19'2019 Planning and Development Services Permitting Department st, Luale County Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial. Residential X PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line rrr®T7sty�®>tlw��:raw��.�IaL�rrtlr�irre�rrao � Address: 16675 CARLTON ADAMS RD Legal Description: LUKE-S LOTS (PB 41-4) LOT 3 (7.546 AC) (OR 3276-530) Property Tax ID #: Parcel ID: 2236-700-0003-000-1 Site Plan Name: Project Name: SOLOMON Setbacks Front Back: Right Side: INSTALL ROOF MOUNTED SOLAR PV - 11.7KW Left Side: Lot No. 3 Block No. 4CONSTRUCTION`INFORNIATION, J itiona wor to e e orme unclert ispermit—check all apply: ❑_ HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors Electric Plumbing ❑Sprinklers nn_ Generator n� tI Roof Roof pitch Total Sq. Ft of Construction: Sc Ft. of First Floor: Cost of Construction: $ 35000 Utilities: Sewer Septic Building Height: uOW',NE CONTRACTOR':« Name Hall E�Solomon Jr Name: GARY KEMPER Address: 16675 Carlton Adams Rd Company: SUNERGY SOLAR City: Fort Pierce Zip Code: 34945 Fax: Phone No. NA State: FL Address: 7797 LAKE SEMINOLE RD City: SNEADS State: FL Zip Code: 32460 Fax: Phone No. 727-543-8361 E-Mail: NA Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: BAPROJECTSOLUTIONS@GMAIL.COM State or County License: CVC66996 If value of construction is $2500 or more, a RECORDED Notice 01 commencement is requirea. SUPPLEMENTAL CONSTROCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: Hall E Soloman Jr MORTGAGE COMPANY: _ Not Applicable Name: GARY KEMPER Address: 16675 CARLTON ADAMS RD Address: 16675 Carlton Adams Rd City: Fort Pierce State: Zip: Phone City: SNEADS State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: Address: 7797 LAKE SEMINOLE RD 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in DO 1 ict with any applicable Home Owners Association rules, bylaws or andcovenantsthat 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 recording our Notice of Commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Con ctor/Lice5-567-o er STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SANTA ROSA COUNTY OF SANTA ROSA The for oing instrument was acknowledged before me The forgoing instrument was acknowledgge,d before me this day of 20_U by this JUL day of 201& by (-i1 C nt Name of pers n making st ement Name of pd6on makin statement Personally Known OR Produced Identification x Personally Known OR Produced Identification x Type of Identification Type of Identification Produced DL Produced DL_ (Signature of Notary Public -State of Florida (Signature of Notary Pub is -State of FIIric Commission N u6llcSta(SeBfjonda Commission No. d• NotaryPublic a C�filonda i tm Coffe� �i1t ye�. Timothy Coffey My Commission GG 248671 My Commission GG 246671 y . y?a�P� Expires 081,512022 Ez Tres 08/15)2022 REVIEWS NT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17