HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/17/2019 Permit Number:
Fft'i"-CEIVED
NOV -5 2019
Building Permit Applica i?el-mitting l�epartmen
Planning and Development Services
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:ROOF
-PROPOSED IMPROVE M,ENT'LOCATI0N:
Address: 120 BEACH AVE PORT ST LUCIE FL 34952
Property Tax ID#: 3419-515-0064-0002 Lot No.21
Site Plan Name: Block No. 6
Project Name:
DETAILED.DESCRIPTION OF WORK
install new mechanical roof sysyem low Slope/tear off existing FL I-R&}$-- new
�s
install new = underlayment FL 10-Sja-g
FC6-N5TRUCTIONINFORMAT- ION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator Roof -2#—Pitch
Total Sq. Ft of Construction: ,5. Sq. Ft.of First Floor:
Cost of Construction:$ 14,000. Utilities: —Sewer _Septic Building Height: 1-story
OWNER/LESSEE- CONTRACTORc
Name Mauryn Tolentino Name:LUIS QUINONES
Address:120 Beach Ave. Company:Rhino Roofs&General Construction Corp
City: Port St Lucie State:_ Address:865 S Kings Hwy
Zip Code: 34952 Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34945 Fax:
E-Mail:mauryntolentino@gmai.com Phone No 772-446-1139
Fill in fee simple Title Holder on next page( if different E-Mail info@roofsbyrhino.com
from the Owner listed above) State or County License CCC1 331472
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 MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: 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 IMPROYEMENTS 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."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA( v�l C— STATE OF COUNTY F ORIDAS..- �/g
Cu
COUNTY OF 1,
The forgoing instrument was acknowledged before me The for oing instrument was.acknowledg before me
this day of_(2C� 20� by this day of 2 by
C,U1 S L,w0 J eS /U /AJ D 6U0S_
Name of person mal ing statement. Name of person making statement.
Personally Known�OR Produced Identification Personally Known "< OR Produced Identification
Type of Identification Type of Identification
Produced Produced
( 'gnature of Notary Public-State of Florida) ignature of Notary P'Gaublic-State of Florida)
Commission NocyGa Notary�@ tateofFloride Commission No 7�68 '� Public state of
Desiree 1ex�n � 07/22J2022
l xen
My Commission GG 240688 My Commission GG 24
71
REVIEWS FRO NI G SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.