HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLEity FOR APPLICATION TO BE ACCEPTED
Date: �``�, �� SCANNED Permit Number: d 1-13
BY RECEIVED
St. Lucie County
COUNTYOCT 0 6 9.Q19
Building Permit Applicatio lT, Luc(eCounty, Permitting
Planning and Development Services
-Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: Building and Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 109 SE Solaz Ave Port St Lucie, FL 34983
PropertyTaxlDk:- 3y\°i' S`{O-d2G5—� Lot No.42
Site Plan Name: Block No. 50
Project Name:
DETAILED DESCRIPTION OF WORK:
Roof Mounted PV Solar
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 10,881
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Perez Otero and Dalia Otero -Aponte
Name: Richard Longo
Address:109 SE Solaz Ave
Company: Florida Power Management
City: Port St. Lucie State: _
Zip Code: 34983 Fax:
Phone No. (772) 237-1751
Address: 1331 Green Forest CT
City: Winter Garden State: FL
Zip Code: 34787 Fax:
Phone No (407) 573-5113
E-Mail: Method$_place@yahoo.com
Fill in fee simple Title Holder on next page ( if different
i.
from the Owner listed above)
E-Mail jenna@fpmsolar.com
State or County License 131�
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 CONSTRUCTI IEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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
"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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR IENDFR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
X � =2Q ni %�
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signat roof Contractor/Licedif Holgo
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF m- w—,%--
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this _ day of .20_ by
this-L< day of 20.L'�_ by
W U'I1�Z(J A cl'{Z
Name of person making statement.
Name of person making stat ent.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public -State of Florida)
(Signature of Notary -Public- aF,e or. a
Commission No. (Seal)
ze otary Public State W Florida
a. ItMant�h��e__W�y�� ge
Commission No. sz Nl:{ommfJsson
�•
GG 209754
c. n•``' F.0'res 04/09/2022
V`
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19 ` `I
k'\\0-0 V13
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
State:
City:
Zip: Phone,
Zip: Phone..
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: —Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I 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 makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Home owners Association rules, bylaws or ancovenants that may restrict or prohibit such
which is in conflict with any applicable
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 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."
Xt4l� 1 =2; 41 Ata=
Signature of Own erf Lessee/cont-factor as Agent for Owner Signatdre of Contractor/LicenSd HoIW
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF (_)X_&% COUNTY OFM=:S —
The for oi . ng instrujpent was acknowledged before me The forgoing instrument was acknowledged before me
aT c day 2020 by this L*9' day of 54-VIIr 201a_ by
this of
r—ta'44 -eJ � n "Li ir". - P4C1KW_0 t10-7-44A ey—,
Name of person making statL4nent. Name of person making stat ent.
Personally Known OR Produced Identification X Personally Known OR Produced Identification
—
Type of IdentifXAJIon;D Type of Identification
L
--Ldu6d.V-L- Produced
Notary Publi L ate of ri Notary . Public- a or* a
Italy Public State
=(51gnatVu!s;enof
? % I of Flond.
is ' Aq t1h LeStarge
Commission No. Notary Public Stat No bst R=sSrOn GG 205154
.1 J F
Nicole Byington , -o,res 0410912022
My Commission G 927579 IV
REVIEWS
FRONT
orw
ZON
I R
P
VEGETATION
SEATURTUE
REVIEW
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.