HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/9/2019 SCANNED Permit Number:
BY
St. Lucie Cou* RECEIVED
Building Permit Application SEP 0 9 2019
Planning and Development Services
Building and Code Regulation Division Pen
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line o 019.r
Address: 6012 Silver Oak Dr Fort Pierce_ FL 34982
Legal Description: Indian River Estates - Unit 6 Ellk 19 Lots 13 and 14
Property Tax ID #: 3402-607-0144-000-7
Site Plan Name: Hartman
Project Name: tiariman
Setbacks Front Back: Right Side: Left Side:
Installation of roof mounted solar electric system
11HVAC LJ Gas Tank ❑Gas Piping
11 Electric 0 Plumbing []Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4coo
Lot No.13 & 14
Block No. 19
Shutters ❑Windows/Doors
Generator 0 Roof = Roof pitch
S Ft. of First Floor:
Utilities: Sewer 0 Septic
Name Hartman
Address: 6012 Silver Oak Dr
city: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No.
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
of construction is $2500 or more, a RECORDED Notice of
Building Height:
Name: Frik F DPI anpV
Company: Climatic Solar Corn
Address: 690 Ind I nnp
City: Vero Beach Stater
Zip Code: 32962 Fax: 772-567-4553
Phone No. 772-5137-3104
E-Mail: officelaclimaticcnlar com
State or County License: C:VC56671
SUPPLEMENTAL>CONSTRUCTION{IEN LAIN INFORNIATiON°'
-LL
v .
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
_Not Applicable
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 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
commencine work or recardine vour Notice of Commencement. - /_\
4
STATE OF FLORIDA_ STATE OF Fl.
COUNTY OF f/rji 2I yo COUNTY OF
The for oing instrument was acknowledgedbefore me The forgoing instrument was acknowledged before me
%/. this day of mP 20/r by this dayof §P'P� 20L by
fir; kl�. Lhp/a'�/ Ql1r_ - 17-QIyaoJ
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notta ublic- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. G&/ 1 i ° "4 :(SdWANDA S WAR
My COMMISSION # GG
Revised 07/15/2014
ofta-
"ignature of Notary Public- State of Florida )
Personally Know OR Produced Identification
Type of Identification Produced
AMAN"A WARREN
y COMMISSION # GG149063
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