HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLIC BLE INFO MUST BE COMPLETED FOR
Date: 7/1 /19
CATION TO BE ACCEPTED
Permit Number:
ilding Permit Application
Planning and Development Services
Building a id Code Regulation Division j
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: ( 72) 462-1553 Fax: (772) 462-1578 1 Commercial Residential x
i
PERMI TYPE:Shinlae Roof
Address: 11625 E Twin Creeks Dr.
Property T x ID #: 2333-601-0013-010-1 Lot No.13
Site PlanName: Block No.
Project Name:
tear off existing shingle roof over garage only
Additional work to be performed under this
—Mec anical — Gas Tank
— Electric — Plumbing
Total Sq. F of Construction: 400 sq ft
Cost of Co struction: $ 2300.00
II new Tamko Heritage shingle roof over garage area only
3errnit – check all that apply:
Gas Piping — Shutters _ Windows/Doors
— Sprinklers _ Generator — Roof 6/12 Pitch
Sq. Ft. of First Floor: 2172
Utilities: Sewer Septic Building Height: 1 -story
OWNS /LESSEE:
CONTRACTOR:
NameAdam Senko
Name: Luis Quinones
Company:Rhino Roofs & General Construction Corp.
Address:11625 E Twin Creeks Dr.
City: Fon Pierce State: _
Address: 865 S Kings Hwy
Zip Code: 34945 Fax:
City: Fort Pierce State: FL
Phone No.
Zip Code: 34945 Fax:
Phone No772'446-1139
E -Mail:
Fill in fee simple Title Holder on next page ( if of ifferent
E -Mail info@roofsbyrhino.com
from the Owner listed above)
State or County License CCC1 331472
If value of ionstruction is 52500 or more. a RECORDED Notice of
Commencement is reauired.
If value of MVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
31
_ Not Applicable
MORTGAGE COMPANY: — Not Applicable
Name:
STATE C
F FLORIDA
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Name:
Address:
City: State:
Zip: Phone:
Address:
City: State:_
Zip: Phone
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FEE SIMPLE
TITLE HOLDER:
— Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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Name of
Name:
Address:
Personal)
Known > OR Produced Identification
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 thatno work or installation has commenced prior to the issuance of a permit.
St. Lucie Co myy makes no representation that is grant't'ng a permit will authorize the permit holder to build the subject structure
which is in onflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. P ease consult with your Home Owners Assaciation 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 accordan a 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 sl ructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNINTO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICino
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTD ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wrru m m ram. nn w D wrrnD1ucv QCC DC D5;rnDn1N1r vni ID IUnTIrF nF rnMMFN[FMFNT_"
Kev. L/ //
31
Signature o caner Lessee/ tractor as ent for Owner
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Signature of Contractor/License Holder
STATE C
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The forgoing instrument ?vas —acknowledged before me
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Name of
erson makin statement.
Name of person making s4atement.
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Known > OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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VEGETATION
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Kev. L/ //