HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: WC)") Permit Number:
C' �G
Building Permit Application '4 oP vol
Planning and Development Services co°0"
Building and Code Regulation Division 0,>e
2300
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 1012 Flood Rd Fort Pierce FL 34982
Property Tax ID#: 3404-501-0517-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
install new metal roof over existing shingle. SV Ft– j --(o�7-0
Inss+alI �n+l�'fi"� lJnder �tm2n{- L�Sai'�
CONSTRUCTION INFORMATION:
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 6112 Pitch
Total Sq. Ft of Construction: 14 sqs Sq. Ft.of First Floor: 1227
Cost of Construction:$ 4700.00 Utilities: —Sewer —Septic Building Height: 1
OWNERAESSEE: CONTRACTOR:
Name Melissa Barnhardt Name:Luis Quinones
Address:1012 Flood Rd Company:Rhino Roofs& General Construction Corp
City: Fort Pierce State:_ Address:865 S Kings Hwy
Zip Code: 34982 Fax: City: Fort Pierce State:FL
Phone N0.772-3539296 Zip Code: 34945 Fax:
E-Mail: Phone N0772-446-1139
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.
i
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 TITLE HOLDER: _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 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."
Signature of Owner/Lessee/Co or as Agent r Owner Signature of Contractor/License Holder
STATE OF COUNTY OF
FLORIDA
OUNTYOFS�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this(- day of 1N 204!� by this day of iVJ)XI 204 by
�l S L) /yE C �,Q/_S (�l A,)
Name of person makirig statement. Name of person making statement.
Personally Known —_-::�OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
S.
(Si ature of Notary - Signature of Notary Pu is ' of F �lic state of Florida
�! ,per Notary Public State of Florida Desiree lexen
Commission No�G Desiree F1 g� �( my co m�ssi n GG 240M
My Com NAG 240686 Commission Nc�G` Expiresr 022
orw� Expires 07/2212022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.