HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \� \ �� Permit Number: V\\\-0SSO
6CANNED
BY RECEIVED
lie'' I-ucie County
Building Permit Applicati n Nov 18 ?0 9
Planning and Development Services SST, I ucla County, Rern
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 1708 York CT Fort Pierce, FL 34982-5670
PropertyTax ID #: ' 2421-601-0021-000.7 Lot No. 1_
Site Plan Name: ORANGE BLOSSOM ESTATES,/Block No. -.3
Project Name: la¢gira Magi PV SYSTEM
DETAILED DESCRIPTION OF WORK:
OF GRID -TIED PV SYSTEM
iN INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
X Electric _Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction:
Cost of Construction: $ -62,751.39
Sq. Ft. of first Floor:
Windows/Doors
Roof Pitch
Utilities: _ Sewer — Septic Building Height:
OWNER/LESSEE: -
CONTRACTOR:
Name Jessloa A Masi
Name: NEAL Bugg=
Address:_.1708 York CT i
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. (772)3323754
Company: WINDMAR HOME FLORIDA INC
Address: 7575 KINGSPOINTE PARKWAY SUITE 11
City: ORLANDO State: FL
Zip Code: uaia Fax: (4071502-7055
Phone No (407) nos-co4o
E-Mail:_ jayg310@gmall.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail NEAL4URDICK(dIWINDMARHOME.COM
State or County License E00002179
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: MIGUEL A ALVAREZ VELEZ
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 7575 KINGSPOINTE PARKWAY SUITE 11
Address:
City: ORLANDO State: FL
Zip: 32819 Phone (407) 308-0099
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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
W H YOUR ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
atu of wner/ Lessee/Cont ctor as Age t or Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF SAINT LuciE
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 14 day of F 20y9_ by
this 14 day of November 20yg— by
CHAD ROGERS as POA for lesgica Masi
NEAL BURDCIK
Name of person making statement.
Name of person making statement.
Personally Known X OR Produced Id( 1"tGritRMr��i,
Type Identification
Personally Known _ OR Produced lderltyfR ire
Type of Identification P 0,��,
of `��\' OtARYyUti"'
`����C
y 17
Produced
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(Sign ture of Notary Public- State of Florida s PUB�\G �p
ature of Notary Public- State of Florida I \G O
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Commission No. GG212960 (Se F���
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Commission No. GG212S60 (rE O;i ,1t`�s�
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
III
L
DATE
Ph
COMPLETED
Rev.2/7/19 1 ' G