HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �d kG ` SCANNED Permit Number: 1� 1O -tl 365
BY
St. Lucie County RECEIVED
Building Permit Application OCT 16 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Other
PROPOSED IMPROVEMENT LOCATION:
Address: 4100 fY1Ya✓�24 %vr�Perce� R 3q?Z/5
Legal Description:
Property Tax ID #: 2333-232-0020-000-8 Lot No.
Site Plan Name: Block No.
Project Name: Roger & Anita Travis
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
13.83kw PV Solar System roof top mount ry�Q
shu&k be � [NstatlPdr a p o rn edge
CONSTRUCTION INFORMATION:
Additional worK to e e orme under t—checkispermit a apply:
CJHVAC flasTank ❑Gas Piping In _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ �6/' O Utilities:DSewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ro..Pr+An,7m Trciyis
Name: &4nr3 Mee -
Address: 4100 JYI eea✓iv Ed
Company: Coronado Custom Homes Inc
City: Ford &(I'NP. State: FL
Zip Code: 34945 Fax:
Phone No. 772-708-1327
Address: 300) eer4era-. ru'
City: i State: FL
Zip Code: 3387 Fax: 863-053-4683
Phone No. 863-381-6083
E-Mail: jackedwhippet@bellsouth.net
Fill in fee simple Title Holder on next page (if different
'from the Owner listed above)
E-Mail: operations.coronadosolar@gmail.com
State or County License: CVC56809
11 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. II
Name:
Address -
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Address -
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: un Permitting
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Address:
City:
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.
Is In conTlicmtawith any applicable lHome Owners Asssociation' rulesabylaws or and Covenants that build
ay estrictbor 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
commencinia work or recording your NntirP of rnmrvsnnr nc .n
'fr
Slgnatur of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID r
STATE OF FLOW
COUNTY OF L u r�
COUNTY OF FLIA+S
The fpr ing ins It as acknowledggtl'pefore me
this � day�of CJ l� 20 (`i by
The for oing instrument was acknowledged before me
this ir day of C)M 20g by
Name of} erson making statement
Personally Known OR Produced Identification
Name of per n making statement
Personally Known OR Produced Identification
Type of Id ifica ion
Produced g�oZJr!—^Q
Type of Identification
Produced
tj
(Signature of ry Public- State of Florida
(Signaturo Notary Public- State
Commiss o. "( I EMILY GRACIELAI
Q01R916kffii No.Cz{, 402
TIMOTHY RICHARO FOS
.., Se40tarY Public State or °;
Commission a GG 107
.: MY COMMISSION
I 197195
`.'+ai'•' My Comm. Expires.ar :2
cos EXPIRES: Marel
15, 2022
lWileN thrsutlh Natiooi, NOta
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