HomeMy WebLinkAboutBuilding Permit Application `All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
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Date: 3/6/2020 Permit Number:
RECEIVED
MAR '2 5 1020
Building Permit Applicatior),,r,ltting oepartment
Planning and Development Services St.Lucie Cdoott
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential XX
PERMIT TYPE:RE-ROOF
PROPOSED IMPROVEMENT LOCATION::: !J1 .
Address: 7007 LAKELAND BLVD. FORT PIERCE FL34951
Property Tax ID#: 1301-612-0132-000-0 Lot No.22/23
Site Plan Name: Block No. 123
Project Name:
DETAILED DESCRIPTION OF WORK:
tear off existing roof& haul away roofing debris
install 1 in snap lock roof system FL 30304 with#30 felt underlayment �
install polyglass to flat roof portio NOA no. 17-1004.09
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: J S9,S_ Sq. Ft.of First Floor:
Cost of Construction:$ 21,699.36 . Utilities: —Sewer —Septic Building Height: 1story
OWNER/LESSEE:, CONTRACTOR:
NameWilliam Gardner Name:LUIS QUINONES
Address:7007 LAKELAND BLVD Company:Rhino Roofs& General Construction Corp
City: Fort Pierce State:_ Address:865 S Kings Hwy
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.231-206-3130 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 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.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/6/2020 Permit Number:
o
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 XX
PERMIT TYPE:SKYLI G HT
PROPOSED IMPROVEMENT LOCATION:
Address: 7007 LAKELAND BLVD. FORT PIERCE FL34951
Property Tax ID#: 1301-612-0132-000-0 Lot No.22/23
Site Plan Name: Block No. 123
Project Name:
[DETAILED DESCRIPTION OF WORK:
Install 2 impact skylights
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 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: _Sewer _Septic Building Height: 1
OWNER/LESSEE: CONTRACTOR:
NameWilliam Gardner Name:LUIS QUINONES
Address:7007 LAKELAND BLVD Company:Rhino Roofs-& General Construction Corp
City: Fort Pierce State:_ Address:865 S Kings Hwy
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone N0.231-20 6-3130 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 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 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/C ctor as A ent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSTLUCIE COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me The f9rgoIng instrument N s acknowI dig d before me
this day of 2Q by this[�day of 2�by
�l�oN�S �Ah S �v �NDA.)E CL
Name of person making'
tatement. Name of persom�aking� statement.
Personally Known �1 OR Produced Identification Personally Known �I OR Produced Identification
Type of Identification Type of Identification
Produced Produced
0)A 0 ofw
(Sigli=bird7of Notary (Signat a of Notary Pu t f I exen
Notary Publi State of Florida My Commi ion GG 240686
Commission No. :�
Desiree Commission No. o,w Expires�Q7 022
My Com �ssw GG 240686 1�
aa� Expires 07/22/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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