HomeMy WebLinkAboutSUBMITTED PAPERSFee Due: Receipt# (e r2' Permit # Z7� v
St. Lucie County Building & Zoning iV-4rl No G
M. 2300 Virginia Avenue Ft. Pierce, FL 34982-5652
` Tel. •462-1553 C"-f• " V e
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SPECIALTY PERMIT APPLICATION
Electrical
Shed
sc
❑ Plumbing ❑ HVAC ❑ Fence 4�,�/6y���
El Demolition El Gas ❑ Siding COO,
See page 2 for instructions and additional paperwork required for specialty permits
1. Location/Site Address:
i 65� S Q�o��Sch-Al�gct� IL 3 y qsy
2. Parcel ID Number: 0 3J �- S )) " 0 C) 1 0" G 1 d" 0
Office Use
Section
Townshi
Range
Map Page
I Zoning
Land Use
I Initials
Only
3. Description of Project or Work Activity:
4. Owner$ Inform a tio>�
Name: -�C 0,.n V, CL
Address: \ 0 tS . '11fo'.«S'. Tv (� J
City: 41. i -Cr(- t- State: L
Zip: �{`I s�J Phone:
6. Value of Construction: $
ci,
4•
5. Contractors Information
FL Reg/Cert #: C>y 5`���
County Cert#:
Business Name:
Phone Fax 5 jr7—�
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 construction and zoning.
r\c �C,
PRINT QUALIFIERS/OWNERS NAME
QUALIFIER/OWNER
STATE OF FLORIDA, COUNTY OF )t\eA i O.N %*V.b {r ACKNOWLEDGED BEFORE ME THIS � DAY OF
Sr 1
OLN .20k0 BY ^J A1, 73 6 c f\ OIGVWHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
(, 1 AS IDENTIFICATION.
Q'JV,-C,L. �kosjt (seal)
SICd4,T-URE4bF NOTARY TYPE OR PRINT 14AME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER-O-X�
NOTARY MLIC-STATE OF FWRMA
Nancy Hoyt
€, Commission#DD836969
St. Lucie County Specialty Permit Application rev. 8/25/05 dmg zi?;.= >pIieS; DEC. 22, 2012
BONDED THRII ATLANTIC BONDING CO., INC.
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 RECORDING YOUR 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 Number.. Indicate the tax identification number of the property
where the building activity is taking place.
3. Description of Project or Work Activity Fully describe the activity to take'place.
4. Owner Information Indicate the name and address of the owner of the property
,• _ on which activity is taking place.
5. Contractor Information Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license number,
and tM,name of the'-bdsiness doing the work:
6. Value of Construction Indicate the total value of the work to take place. Total cost
of construction includes all current retail material and labor
costs associated with the building/construction activity.
Construction value is used.to deterifiine,the;permit fee. St.
Lucie County reserves the right to question and/or modify
the indicated value of construction if it is,demonstrated 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
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Jan 20, 2010 03:02 PM
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-2172 Fax: (772) 462-6443
http://www.stiucieco.orgfpublic workslpermitting.htm
hftp://airs.slcfl.vetrol.com/AIRSweb.php
BUILDING PERMIT
Page 1
Issued: 02/05/2010 Conf #; 678 Permit #: SLC- 1001-0186
Job Location: 1865 BROCKSMITH RD City: FORT PIERCE
Permit Type: Electrical
Job Description: INSTALLATION OF A TRINA SOLAR ELECTRIC SYSTEM ( GRID TIE IN W/ BATTERY BACK-UP)
FSEC # TS09-NT90-0298 * MODULE # TSM-230PA05 * 230 WATT
Subdiv:
Lot: Block:
Setbacks Left: Right: Front:
Number of Units: 1.00 Floors: 1 Buildings:
Minimum Floor Elevation: Flood Map: 165F
Parcel: 2317-311-0010-010/0
Rear: Zoning: AG-5
1 Square Footage: 0.00
Flood Zone: X Elev:
Contractor JOHN J DRNDAK CLIMATIC -SOLAR CORP (772) 567-3104
650 2ND LN VERO BEACH, FL 32962
Property Owner FRANK RAZEM (772) 344-0162
1865 BROCKSMITH RD FORT PIERCE, FL 34945
Property Owner CHRISTA RAZEM ( ) -
1865 S BROOKSMITH RD FORT PIERCE, FL 34945
Permit holder acknowledges through acceptance of this permit that separate permits must be obtained as required by the Florida Building Code
including those for all electric, plumbing, mechanical, roofing and structural work. Further, he/she acknowledges responsibility to comply with
all requirements of the 2007 Florida Building Code and the St Lucie County Land Development Code.
Issuance of this permit may be appealed to the St Lucie County Board of Adjustment by an aggrieved party by filing a notice of appeal with the St
Lucie County Growth Management Director within thirty (30) days of the issuance of this permit in accordance with St Lucie County Land
Development Code, Section 11.11.00., Appeals.
Building Permits shall expire and become null and void if work authorized by such Building Permit is not commenced, having called for and
received a satisfactory inspection, within six (6) months from the date of issuance of the permit, or if the work is not completed within 18 months
(permit by contractor) or 24 months (permit by owner) from the date of issuance of the Building Permit in accordance with St Lucie County Land
Development Code Section 11.05.01 (A)(2).
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the
records of this county, and there may be additional permits required from other governmental entities such as water management districts,
state agencies, or federal agencies. s:553.79(10), F.S.
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. s:713.135 (1)(a), F.S.
Christopher Lestrange
Building Official
Date
02/01/2010 08:04 7725674553 _ CLIMATIC SOLAR CORP
r�1 d•OSEPH 8, SMITH, CLERK '\,HE CIRCUIT COURT - SAINT LUCIE COUNTI FILE 0 3435428 OR BOOKS �!
& PAGE 359, Recorded O1/28/207,b at C'x;a3 VM
PAGE 02
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NOTICE OF COMNIENCEMENT J
Pft MdA thiped a mll given mom OW ubpr. MMO WHI be m.dr to =Wfi alai property, tptd in �dMloe with t�.pkr 713,
m u provided is Lire Notice orcotome=mvm
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7. Pusatrt witb)n the S=6 of rloridrt designated by Owner upon whom ootices a ousel' dmTncnta may be solved BB provided by
Section 213.13 (1 xa) 7., Florida Stmutas:
NAME, AbbltL ; AND PRONIt Kpytpltp;
B, In addldm to himself or (uraat� owner desigoatea t11e lb
713.13 (i)(b), Florida Seatutes: (towing to te4ive a copy of tht Limpr's Nodae m ptovidod in Sadfon
NAME, ADDRESS AND PHONE nWKSL•
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belief (section 92,125. Florida Stmutes).
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02/01/2010 08:04 7725674553 CLIMATIC SOLAR CORP PAGE 01
{
Climatic -Solar Corporation
650 2"d Lane
Vero Beach, FL. 32962
Phone Number 772-567-3104
Fax Number 772-567-4553
Web Address www.climaticsolar_com
Email iohn Dclimaticsolar.com or nancvnclimaticsolar.com
FAX TRANSMITTAL FORM
To: St. Lucie County From: Nancy Hoyt
Attn: Code Compliance division Sent: 02/01/10
CC.
Rhone: -.1 42 Number of Pages: 2
Fax: 772-1578
Recorded Notice of Commencement
Permit # SLC-1001-0186
Razem
1865 S Brocksmith Road
Ft. Pierce, FL 34954
Let me know if you need any thing else.
Nancy Hoyt
Climatic -Solar Corporation
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1663 Fax: (772) 462-1578
hftp://www.stiucleco.org/public—works/permifting.htm
Review Comments
PROPERTY INFORMATION
Address: 1865 BROCKSMITH RD
City / State / Zip; FORT PIERCE FL 34945
Parcel # : 2317-311-0010-010/0 Jurisdiction: St. Lucie County
Zoning: AG-5 Lot # : Block:
APPLICATION INFORMATION
Permit Number: 1001-0186
Activity Type:
Permit Type: Electrical
CONTRACTOR INFORMATION
Contractor Name: JOHN J DRNDAK
Business Name: CLIMATIC -SOLAR CORP
Business Addr: 650 2ND LN
City / State / Zil VERO BEACH, FL 3296
Page 1
Owner(s):
FRANK RAZEM
CHRISTA RAZEM
Application Type: Over the Counter Permit
Other Activity:
Stories: 1 Automatic Sprinkler System?
Fax Number 772-567-4553
REVIEWS AND COMMENTS
Review Type Status Reviewed By Date Started Date Complete Date Released
Documents Missing Pending
01/20/2010 1 Comment CONT ON HOLD NEEDS TO UPDATE WITH ST. LUCIE
01/20/2010 2
Front Counter Review
Comment NEEDS RECORDED NOC
Complete Audrey Humphrey 01/20/2010 01/20/2010
Plans Examiner Review Incomplete Joe Cicio
01/25/2010 1 Comment PLS SUBMIT LEGIBLE PLANS FOR REVIEW
01/25/2010 2 Comment COMMENTS MAILED AND FAXED AS OF THIS DATE
01/25/2010
VA
r
TRANSMISSION VERIFICATION REPORT
TIME 01/23/2010 13:36
NAME SLC CODE COMP
FAX 7724626448
TEL 7724622963
SER.# BROE5J278861
DATE,TIME
01123 13:36
FAX NO./NAME
917725674553
DURATION
00:00:23
PAGE(S)
01
RESULT
OK
MODE
STANDARD
ECM
1 Code compliance Division
2300 Virginia Avenue
j Ft. Pierce, FL 3082
{I Phone: (772) 462-1553 Fax: (772) 467-1575
htte:iiWww.stiucleco.orglpubllc_,workslpermltting.htm
Review Comments
PROPERTY INFORM�N
Address: 186*a BROCKSMITH RD
Clay 1 State 1 Zip; FORT PIERCE FL 349d5
Parcel # : 2317-311-0010-01010 duPiadlcti0n: 5t, Lucie County
Zoning' AG-5
Lot # : Block:
APPOCATI NtNFORNIATION
Permit Number: 1001-D1 B5
Activity Type:
Permit Type: Electrical
GONrR4GTOR INFORMA7I0N
Contractor Name: JOHN J DRNDAK
Business Name: CLIMATIC -SOLAR CORP
Business Addr: 650 2ND LN
city I state I Zil
VERO BEACH, FL S296
Page I
Owner(s): _
IFfANK RAZEM
CHRISTA RAZEM
II`
Application Type: Over the Counter Permit
Other Activity:
Storlew 1 Automatic Sprinkler System?
Fax Number T72-557-4553
REVl AND coMMEN�s_
REMLIM S• tatus Re_ i�ewad$X Pete staff Qete eta Re sed
Dcauments Missing Pending
01/2012010 1 Comment CONT ON HOLD NF-F-08 TO UPDATE WITH ST. LUCIE
Nr;r-nG RECORDED NOC
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
hftp://www.stiucieco.org/pubiic—works/permiffing.htm
PROPERTY INFORMATION
Address:
1865 BROCKSMITH RD
City/State/Zip:
FORT PIERCE
Parcel#:
2317-311-0010-010/0
Zoning:
AG-5
APPLICATION INFORMATION
Permit Number: 1-00101 -86
Activity Type:
Permit Type: Electrical
Review Comments
FL 34945
Jurisdiction: St. Lucie County
Lot # : Block:
CONTRACTOR INFORMATION
Contractor Name; JOHN J DRNDAK
Business Name: CLIMATIC -SOLAR CORP
Business Addr: 650 2ND LN
City / State / Zil VERO BEACH, FL 329E
Page 1
Owner(s):
FRANK RAZEM
CHRISTA RAZEM
Application Type: Over the Counter Permit
Other Activity:
Stories: 1 Automatic Sprinkler System?
Fax Number 772-567-4553
REVIEWS AND COMMENTS
Review Type Status Reviewed By Date Started Date Complete Date Released
Documents Missing Pending
01/20/2010 1 Comment CONT ON HOLD NEEDS TO UPDATE WITH ST. LUCIE
01/20/2010 2 Comment NEEDS RECORDED NOC
Front Counter Review Complete Audrey Humphrey 01/20/2010 01/20/2010
Plans Examiner Review Incomplete
Joe Cicio 01/25/2010
01/25/2010
1 Comment
PLS SUBMIT LEGIBLE PLANS FOR REVIEW
01/25/2010
2 Comment
COMMENTS MAILED AND FAXED AS OF THIS DATE
Code Compliance Division
2300 Virginia Avenue
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
http://www.stlucieco.org/public—works/permiffing.htm
Reviews
Plans Examiner Review
Incorriplete
cicioj
01/25/2010
Front Counter Review
Complete
humphreya
01/20/2010
01/20/2010
01/20/2010
Documents Missing
Pending
01/20/2010
Plans Examiner Review
Incomplete
cicioj
01/25/2010
COMMENT
Entered
Number Date Entered By Complied? Compliance Date Comments
1 01/25/2010 cicioj ❑ PLS SUBMIT LEGIBLE PLANS FOR REVIEW
1 01/25/2010 cicioj No
2 01/25/2010 cicioj No
DBPR - GEZELMAN, ALLEr?; -professional Engineer
- Page 1 of 1
Licensee Details
Licensee Information
Name:
Main Address:
County:
License Mailing:
Licensel-ocation :
License Information
License Type:
Rank:
License Number:
Status:
Licensure Date:
Expires:
Special Qualifications
Mechanical
GEZELMAN, ALLEN (Primary Name)
(DBA Name)
16502 Hanna Rd.
LUTZ Florida 33549
HILLSBOROUGH
Professional Engineer
Prof Engineer
59180
Current,Active
11/20/2002
02/28/2011
Qualification Effective
11/20/2002
View Related License Information
View License Complaint
3:21:59 PM 112912010
I Terms of Use I I Privacy Statement I
https://www.myfloridalicense. com/LicenseDetail.asp?SID=&id=171 CCOD 1 B4F5921 BEB... 1 /29/2010
Changzhou Trina Solar Energy Co. Ltd
Page 1 of 2
FLORIDA SOLAR ENERGY CENTER&
Creating Erfergy Independence
n 11 3.
PD
Lt
Certified Modules - Trina Solar Energy Co. Ltd
1
J (0 P11
�01
Trina Solar Energy Co. Ltd
No 2 Tian He Road, Electronics Park
New District, Changzhou, Jiangsu China 213031
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
TS09-NT90-0282
TSM-180DA01
180
TS09-NT90-0288
TSM-185DA01
185
TS09-NT90-0289
TSM-200DA05
200
TS09-NT90-0290
TSM-210DA05
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
TS M-230PA05
230
TS09-NT90-0299
TSM-240PA05
240
http://www.fsec.ucf.edu/en/industry/testing/PVmodules/certified modules/detail trina.htm 1/29/2010
Changzhou Trina Solar Energy Co. Ltd
Page 2 of 2
01
TS09-NT90-0300 TSM-250PA05 250
* Modules with certification numbers including the designation -NT90- have not been
tested by the Florida Solar Energy Center. These modules have been certified at 90%
of nominal nameplate power in accordance with the minimum power output
requirements of UL 1703.
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.edulenlindustryltestinglPVmodules/certified modules/detail trina.htm 1/29/2010