HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p��(
Date: Jan. 23, 2020 Permit Number: 2. V `�
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Building Permit Application �� ���
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:ROOF --
Address. 6606 PALOMAR PKWY FORT PIERCE
Property Tax ID#: 1301-615-0125-000-7 Lot No.2.
Site Plan Name: Block No. 173
Project Name:
tear off existing roof install new Coming Duration Shingle Roof FL 10674-R13 Felt underlayment - 4 f,j J 1a4
Flat roof portion install FL 2533-R23 Modified Bitnum , CSA e� (�
`E`ONS7RUCTtQNtNFORMaTtQN ;°' k 5 ` r v
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 1/12&3/12 pitch
1000
Total Sq. Ft of Construction:Y'Nl Sq. Ft.of First Floor:
Cost of Construction: /.1®�
Utilities: —Sewer _Septic Building Height: 1story
NameAustin Theoc Name:LUIS QUINONES
Address:4158 Alice Company:Rhino Roofs&General Construction Corp .
City: Port St Lucie State:_ Address:865 S Kings Hwy
Zip Code: 34953 Fax: City: Fort Pierce. State:FL
Phone No.754-422-1734 Zip Code: 34945 Fax:
E-Mail: 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 oP more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more;a RECORDED Notice of Commencement is required.
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`SUPLEI�iAENT`A►L�CQNSTR'�FCTIN LIENaLi4W�lN R(�/IATfO[k r '3 }�
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 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 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/C tactor Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA -J —
COUNTY OF �� l�V G1 COUNTY OF ST iy C IL
The for oing instrument was,acknowledged before me The forgoing instrument was acknowledged before me
thisaday of 20---Lo by thisa_a day of ftl`J .2QLQ by
buIS CEJ / ,Vok)65 I .V��S (� (frjvi, Pi
Name of person making statement. Name of person making statement.
Personally Known -,4— OR Produced Identification Persona I ly'Known '*/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sigr7ture of Notary Public-State of Florida) (Sid4aiure of Notary Public-State of Florida)
Commission No 'aVT%.
Commission Nd;15 .W�' Notary Public State of Florida
Notary Public State of Florida Desiree Flexen
My Commissio GG 240666 'a Expires 07/2 2022
REVIEWS FR �Z(WW7/22/ 023LJPERVIS PLANS VEGETATI
COREVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19