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REVISED Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR � PPLICATION TO BE ACCEPTED Date: 7/10/19 1 Permit Number: ilding Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: ( 72) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMI TYPE:Shidge Roof7 Address: 1 625 E Twin Creeks Dr. Property Tax ID #: 2333-601-0013-010-1 Lot No. 13 Site Plan Name: 1 Block No. Project Na e: i x ©ETAILE DDESCRiPTION OF -WORK: I. tear off exi ting shingle roof over garage only. Ins all new Tamko Heritage shingle roof over garage area only Additional work to be performed under this perrinit — check all that apply: _Mec apical _ Gas Tank _ (,Gas Piping _ Shutters _ Windows/Doors _ Elec ric _ Plumbing _;Sprinklers i _ Generator _ Roof 6/12 Pitch Total Sq. F of Construction: 400 sq ftSq. Zip Code: 34945 Fax: Ft. of First Floor: 2172 Zip Code: 34945 Fax: Phone No772-446-1139 Cost of Co struction: $ 2300.00 7Utilities: 1 _Sewer _Septic Building Height: 1 -story OWNER/LESSEE: ` CONTRACTOR: NameAd m Senko Name: Luis Quinones Address: 11625 E Twin Creeks Dr.Company: Rhino Roofs & General Construction Corp. City: Fori Pierce State: _ Address: 865 S Kings Hwy City: Fort Pierce State: FL Zip Code: 34945 Fax: Phone No. Zip Code: 34945 Fax: Phone No772-446-1139 E -Mail: I Fill in fee simple Title Holder on next page ( if ifferent E -Mail info@roofsbyrhino.com from the Owner listed above) State or County License CCC1 331472 It value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of VAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: T Not Applicable Name: Signature of Contractor/License Holder — Name: Address I Address: City: The forgoing instrum nt ras acknowledged before me this day of 20 by FT State:, City: State: Zip: Phone makin statement. Zip: Phone: i FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Produced Name: Address (Sign r I Address: City: Desiree F{exen n No. < My Commisii;i@q%6G240886 ! City: Zip: Phone: REVIEWS Zip: Phone: OWNER/ ONTRACTOR 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 Co inty makes no representation that is granting a permit will authorize thepermit 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 Assgciation and review your deed for any restrictions which may apply. In consider tion of the granting of this requested perniiit, 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 RE 'ORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWIC FOR IMPROVEMENTS TO YOUR PR9PERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POST D 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." Signature o caner Lessee/ tractor as ent for Owner Signature of Contractor/License Holder STATE COUNTYCIF F FLORIDASTATE bu Cry i OF FLORIDA L& COUNTY OF L I The forgo ng instrument w s acknowledged before nne _ this ay of 20 by ! The forgoing instrum nt ras acknowledged before me this day of 20 by FT Name of person makin statement. Name of person making ftatement. Personall Known >4- OR Produced Identificatic n Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Sign r of Notar i - a o ri a` Notary ubUc of F i nature of Notary Pu c- of 14i iidI iicS eofFlorlda g y Com�rrissi Desiree F{exen n No. < My Commisii;i@q%6G240886 DesireeFlexen c < My Co iss n GG 240M Commission No. ry�p� Expir®S�L1A4 022 `7�7�(�,� �� a Expires 07/22120¢2 ,����� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW RgVIEW REVIEW REVIEW REVIEW REVIEW DATE i RECEIVE DATE COMPLETED