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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/06/2020 Permit Number:
• RECEIVED
qmmmmmmmmmmmmo Building Permit Applicati n FEB 1
it Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permf'ing
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMIT TYPE:ROOF--
PROPOSED IMPROVEMENT LOCATION: E
Address: 4402 San Diego Ave. Fort Pierce
Property Tax ID#: 1431-801-0076-000-9 Lot No.12
Site Plan Name: Block No. 8
Project Name:
DETAILED DESCRIPTION OF WORK:
i.
tear off existing roof install new 1"snap lock mill finish install#30 felt u/I and synthetic u/I
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 6/12 Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 14400 Utilities: —Sewer —Septic Building Height: 1
OWNERAESSEE: ; CONTRACTOR: '
NameStephenson Hodge Name:LUIS QUINONES
Address:3310 Avenue Q Company:Rhino Roofs &General Construction Corp
City: Fort Pierce State:_ Address:865 S Kings Hwy
Zip Code: 34945 Fax: City: Fort Pierce State:FL
Phone No.772-519-0273 Zip Code: 34945 Fax:
E-Mail: Phone N0772-446-1139
Fill in fee simple Title Holder on next page( if different E-Mail info@roofsbyhino.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 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. 1
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/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLF FL
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The f rgoing instrument was acknowledged before me The fo' oing instrument was acknowledg d before me
this day of — — 2�by this day of �� 2Q by
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Name of person making statement. Name of person making statement.
Personally Known —eR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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Commission No. R.*WNotary Public goo Florida Commissio o. apt � g�or aesiree Flexon +9p00 esiree Flexon
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REVIEWS R O G P ISOR PLANS ANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19