HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr-
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/19/19 Permit Nu15TXWIL�4� PEkG;z;;, , -3 if/ BY
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Building Permit Appl
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMITTYPE: SOLAR PHOTOVOLTAIC RESIDENTIAL
PROPOSED IMPROVEMENT LOCATION:
Address: 5112 Silver Oak Dr, Fort Pierce, FL 34982
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SSP $ 0 2019
c8 �10ucle County, Permitting
Residential X
Property Tax ID #: 3402-700-0001-000-9 Lot No. A
Site Plan Name: Block No.
Project Name: PETERSON SOLAR PV
DETAILED DESCRIPTION OF WORK:
INSTALL ROOF MOUNTED SOLAR PV SYSTEM - 5.76KW
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: Sq. Ft. of First Floor:
Cost of Construction: $ 9,504 Utilities: —Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Christian T Peterson
Name: DANIEL YATES
Address: 5112 Silver Oak Dr .-Company:-
EFFICIENTHOME SERVICES OF FLORIDA, LLC
,City,FOit'Pierce "' State: FL
Zip Code:, 34982.1,, •: .Fax:
Phone -No. 772-370"7269.` ..
Address! 9416INTERNATIONALCTN
City: ST PETERSBURG,` State: FL
, Zip Code:. >33716 ` ""Fax:
Phone No 844-778-8810
E-MAilt ,y� " '
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail PERMITTING@EHSFL.COM
State or County License EC13008759
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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: DONNIE C. GODWIN
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 8378 FOXTAIL LOOP
Address:
City: PENSACOLA State: FL
Zip: 32526 Phone 850-712-4219
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
Not Applicable
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
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS 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."
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4'+n re o Owner/ Le -ee Contractor as Agent for Owner
'Contractor/Licen 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 19 day of SEPTEMBER 20 19 by
this 19 day of SEPTEMBER , 20 19 by
DANIEL YATES
DANIEL YATES
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification _
Personally Known OR Produced Identification
Type of Identificati n
Type of Identificatiddddnnnn
Produced
Produced
(Signs o Nota
(Signatur otary blic- State of Florida)
Notary Public State of Flodda,,,n
Commission No. Sle fimplatth
My Commistim GG 34WB5
r�4? Expirea,08102IL023
Commission No.� Y N pHe State of FWft
, Slee phe�nJPlatihy
My Commission GG 340495
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COUNTER
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COMPLETED