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HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due: Permit # / Inn St. Lucie County Building & Zoning 2300 Virginia Avenue Ft. Pierce, FL 34982-5652 aSCAJV/ ` +1. Tel. •462-1553 St.By E� SPECIALTY PERMIT APPLICATION Le Count Y Electrical ❑ Plumbing ❑ HVAC ElFence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding See page 2 for instructions and additional paperwork required for specialty permits 1. Location/Site Address:, 3 O1 a lAc�a- ,.,, �s w L '41 \ etcc 3 ci7to, 2. Parcel ID Number: IL(O.�- (•,OA •0037 -OUO . S Office Use Section Townshi Range Ma a e Zoning L n`dpUse nitials Only � a S 3 62� 3. Description of Projector Work Activity: SAq.1 C \ P.c.-R 't— (( V3S y A CM 4. Owners Informattion Name: "-�Qna.L R , to V-ex Address:5307. l,lAt,Ingnan Of City: �� 1 i ertLState: L 5. Contractors Information FL Reg/Cert #: Cue 5:0 a y County Cert#: Business Name: Zip: I L1R $a Phone: %;.'-f ` . 7 y56 Phone%i1.:�%7.310Lt Fax i?1Y6 5 3 6. Value of Construction: $ aa_alg. ov OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance with all applicable laws regulating constructionAnd zoning, � CXX'S -';�) c t., Jr. (L PRINT QUALIFIERS/OWNERS NAME STATE OF FLORIDA, COUNTY OF 1� iQ .. .V t r ACKN&LEDGED BEFORE ME THIS 'l DAY OF � (,. cA q WHO 15 PERSONALLY KNOWN TOME OR WHO HAS PRODUCED 20JL BY , d V\, \ CXI-.--, "nit SI TURF F NOTARY TITLE: NOTARY PUBLIC St. Lucie County Specialty Permit Application rev. 8/25/05 dmg AS IDENTIFICATION. TYPE OR PRINT NAME OF NOTARY r/ C COMMISSIONNUMBERIJ�Ib1 1. NOTARY PUBUC.STATR OF YLORIDA ,`e\IIIIO�o Nancy Hoyt Commission #DD836969 Expires: DEC. 22, 2012 BONDED THRU ATLANTIC BONDING CO., INC. (seal) NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDINGSYOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address Indicate the street address or general location of the property where the building activity is taking place. 2. Parcel ID Numbpr� ,� `. Indicate the Wc.ideniification,'number of the property where the building activity is taking place. 3. Description of Project or Work Activity Fully'descTibe•the-activiiy` 46 iake'p"lace. 4. Owner Information Indicate the name and address of the owner of the property on which activity is taking place. 5. Contractor Information ,Indicate theState of Florida registration number (if ` applicable),'St. Lucie County contractor license number and the name of the business doing the work. 6. Value of Construction Indicate the total value of the work to take place. Total cost of construction includes'allcurrent retail material and labor costs associated with the building/construction activity. Construction value is used to`determine,ithelpermit,fee. St. Lucie County reserves the right to question and/or modify , ' the indicated value of construction-if•it'is'demoristrated that the submitted figures are not consistent with similar types of construction. ❑ Gas Attach 2 piping schematics with tank size, location, and BTU of each appliance ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ❑ Fence Attach 2 plot. plans showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications ❑ HVAC Attach.2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34982. All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. NOTE: Emergency electric service change out inspections will not be performed after 3: 00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. St. Lucie County Specialty Permit Application rev. 8/25/05 dmg 08/04/2011 14:46 01 " MAIN Proposal Page No. CLIMATIC -SOLAR CORPORATION 650 2nd Lane VERO BEACH, FLORIDA 32962 Indian River 567.3104 St. Lucie 340-0088 Blrevard 951-9230 PAGE 02/02 of Pages PROPOSALSUBMITTEDDan Bowke ET , DAB 4(4-7450 R) 240-1209 (C) ��{R 06/06/11 STREET JOBNAME CITY, STATE and ZIP CODE ARCHITECT _ _" ' I DATE OF PLANS JOB LOCATION We hereby submit specifications and estimates for. Climatic -Solar, Corp. is pleased to quote a price of $ 22,299.00 for a Grid -Tie The sstem consists of- . ................... 18 225W Trim, UniRac Solar Mounting System. — Ennhase 210 Includes Engineering & permitting L114&i WO "AWA­ Phhotay.oMc..Modules, 25,,,,��. --0111 Invm ter — 8 years (Manufacturers) Wi..r d i t g hard are..w..5...3 CONSTRUCTION 1NCUDS ............I ...................... (4050 Watts) PHONE Y(i7r 1Vln1\1 ApA1 .�. •. .rw� r�.a+�..r..ara ..,--..� --- .. MONEY ON A,PROMC r pMFORNO UNDER CONTRACT, wIE? THE LOSS RESULTS FROM SPECIFIED ,V,IOL t►TIC)NS.,OF.FLORIDALAW.BYAST.EtATF-LICENSM„CC?N.TRAQTQR-.OQ.NT. A47,;,.&ORInA....................... CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TBL'EPHONE NUMBER AND AI)DRESS: CONSTRUCTION INDUSTRY LICENSING BOARD „y ........ ................1.,,, ... ............... I..... ..............,., .........._...._._. 660 ;ARf�l�lis�oz� ���t�AY............................ SUITE 300 pHONE (904) 727-6530 Piulmbiag Contrnctm lAcelEfte CFC-024542 WC Fray eor hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars ($ _22,219,0 )• Payment to pe made as follows: $4,000.00 Down (To be depasited in an escrow =count) - $10,000.00 upon issue Of ution All material is guaranteed to be as specified. All work to be completed in a workmanllko Authorized }1f1 ( �C manner according to standard practices. Any alteration or deviation from above specifications Signature Jobill J Involving extra costs will be executed only upon written orders, and will becomo an extra charge over and above the estimate. All agreements contingent upon strikes, accidents Note: This proposal may be or delays beyond our control. owner to carry fire, tornado and oiher necessary insurance. withdrawn by us if not accepted Within day9. our workers are fully covered by Workman'a Compensation Insurance, Arriep#attrit of Proposal— The above pricey, specifications and Conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above, Elate of Acceptance: "` Signature JOSEPH E. SMITH, CLERK { HE CIRCUIT'COURT - SAINT LUCIE COUWr ' FILE # 3615585 OR BOOK'-.-_.,.,3 PAGE 791, Recorded 08/04/2011 at 36 PM AP[a UW0VD1NG4WTPRNTO: F PZRMr NUNMKRt I This Spew is --d ru,,..rdine info NOTICE OF The mrdeaigaed hereby given notice that haprovement will be made to mtam red p apettety, sod in aa:or I with Chapter 713, Florida stamps the fallowing in5ormetioa is provided in the Notix of coumma meat I. DESGB MON OF PROPERTY (Lrgrl desc#dw and sh , add=) TAX]ODMNlJ UL-Ti OA -66, -0 11i • O Gb • `T 2. GENERAL DESCRIPTION OF=1N&==q(aX V t 3.OWNER INORMATON: b. Address O 4 4 e lnLerest iD propedy p ly A er d. Name and address of fee"simple titleholder (if otber than owner) 4. CONTRACTOR'S NAME. ADDRESS AND PHONE NUMBER: C—` , thd�i t• S r k 2i Cca r A 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT- 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER 7. Persons within the State of Florida designated by Owner upon whore naticcs or other docaamb may be served as provided by Section 713.13 (lxa) 7, Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: S. hi addition to himself or herself Owner designates the following to receive a copy of the Uenor's Notice as provided in Section 713.13 (lxb), Florida Statutes: NAME, ADDRESS AND PHONE NU111BE& 9. F on date of mticc of mornamc mrm (the ee>p zdon dale is 1 year fmm d. dateof I' Sunken a diSerent dare is specified) 20_ PrW Name read Provide ftmbary s mdelOmce Owner's Authorbxd OIBar/DlrectorlPartnsr/Masager State ofFladda County of 5 - 4 Thefayegomg�eotwasmdmoMcdpdbeforemethis dayof 20j,_. {3 BY i1 1)&mw (Printed oams of pesos sigang shove) as (Type of amhority...e.g. Owner, omeer, bDstce, m orney in fast) Far (Name ofpmty on behalf of whom instrrnoe was smarted) PtrsmaltyKno.Z-prodoced the following type of ID: _ MII ✓�11 !r (C4,(Lt ', 1Q tL �l I I I �� `r ,ter w P MICHELLESKISIK Notary Public, State of Florida Camm1sslon#DD950916 • (PrhtedNameofNattayPublic) ' Of Not yPahiic) f `end icaf My comm. expires Jan. t0, 2014 Under penalties of perjury. I declare that I have\ head the foregoing Relief (section 92.525. Florida SteLtOes). that the facts in it are trot to the best of my knowledge and pators(a) ofOwa(a) ar.OW-*)' Anthedaed who wed above: By; f By. rwanoamrramd.ar (51�) (PrmtedNarne) STATE OF RORIDA ST. LUCIE COUNTY Tult , rnnrn-riCVTUATTMIA15;A TRU QRI By: Dal Trina Solar Energy Co. Ltd. 3 Py FILE vvu FLORIDA SOLAR ENERGY CENTER Creating Energy Independence Trina Solar Energy Co. Ltd. No 2 Tian He Road, Electronics Park. New District Changzhou, Jiangsu, 213031, China http://www.trinasolar.com/ Trina Solar Energy Co. Ltd. Contact: +86 519 85176509 FSEC Certification Number Module Number Nameplate Rating (Watts) TS09-NT90-0278 TSM-160DA01 160 TS09-NT90-0279 TSM-165DA01 165 TS09-NT90-0280 TSM-170DA01 170 TS09-NT90-0281 TSM-175DA01 175 l TS09-NT90-0282 TSM-180DA01 180 TS09-NT90-0288 TSM-185DA01 185 TS09-NT90-0289 TSM-200DA05 200 TS09-NT90-0290 TSM-210DA05 J. 210 TS09-NT90-0291 TSM-220DA05 220 TS09-NT90-0292 TSM-230DA05 230 TS09-NT90-0293 TSM-240DA05 240 TS09-NT90-0294 TSM-250DA05 250 TS09-NT90-0295 TSM-200PA05 200 TS09-NT90-0296 TSM-210PA05 210 TS09-NT90-0297 TSM-220PA05 220 TS09-NT90-0298 TSM-230PA05 230 http://www.fsec.ucf.edu/en/cer�'.L.;ration-testing/PVmodules/certified m�.,,.,4'les/manufacturer... 8/5/2011 Trina Solar Energy Co. Ltd. 3 TS09-NT90-0299 TSM-240PA05 240 TS09-NT90-0300 TSM-250PA05 250 TS 10-ACTL-0101 l TSM-165DA01.05 165 TS 10-ACTL-0102 TSM-170 DA01.05 170 TS 1 O-ACTL-0103 TSM-175 DA01.05 175 TS10-ACTL-0104 TSM-180DA01.05 180 TS10-ACTL-0105 TSM-185DA01.05 185 TS10-ACTL-0106 TSM-205PA05 205 TS10-ACTL-0107 TSM-215PA05 215 ■TS}1r01W1 UTSM1225P05 TS10-ACTL-0109 TSM-235PA05 235 TS10-ACTL-0110 TSM-245PA05 245 TS10-ACTL-01105 TSM-215PA05.05 215 TS10-ACTL-0111 TSM-250PA05 250 TS 10-ACTL-0112 TSM-200 PA05.05 200 TS10-ACTL-0113 TSM-205PA05.05 205 TS10-ACTL-0114 TSM-210PA05.05 210 TS10-ACTL-0116 TSM-220PA05.05 220 TS10-ACTL-0117 TSM-225DA01.05 225 TS10-ACTL-0118 TSM-230DA01.05 230 TS10-ACTL-0119 TSM-235DA01.05 235 TS10-ACTL-0120 TSM-240DA01.05 240 TS 10-ACTL-0121 TSM-245 DA01.05 245 TS10-ACTL-0122 TSM-250DA01.05 250 TS10-ACTL-0123 TSM-260PA14 260 * Modules with certification numbers including the designation -NT90- have not been tested by the Florida Solar Energy Center. These modules have been certified at 900/a of nominal nameplate power in accordance with the minimum power output requirements of UL 1703. http://www.fsee.ucf.edu/en/cert �" ition-testing/PVmodules/certified mouu es/manufacturer... 8/5/2011 Trina Solar Energy Co. Ltd. The FSEC PV Module Certification Nomenclature is: AA-YY-BBBB-XXXX AA - Company Designation YY - Year Certified BBBB - Test at FSEC, ACTL-Tested by another accredited testing laboratory XXXX - Sequential "-P" Indicates a provisional certification. http://www.fsec.ucf.edu/en/cerl nation-testing/PVmodules/certified moucfies/manufacturer... 8/5/2011