HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
COUNTY
F 'L 0It' 1 D A
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE: RE ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 6137 ALEXANDRIA CIR
Property Tax ID #: 3410-503-0145-000-0
Site Plan Name:
Project Name:
Commercial Residential X
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: 7
tear off existing install new shingle roof FL 10674 with Weather lock Underlayment FL -9777
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: $ /,?- Utilities: — Sewer _ Septic Building Height: 1 story
OWNER/LESSEE:
CONTRACTOR:
NameJAMES GARTLAND
Name: LUIS QUINONES
Address: 6137 ALEXANDRIA CIR
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 No. 772-828-3730
Zip Code: 34982 Fax:
Phone No 772-446-1139
E-Mail:jimbaymen@aol.com
Fill in fee simple Title Holder on next page ( if different
E -Mail info@roofsbyrhino.com
State or County LicenseCCC1331472
from the Owner listed above)
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 LAIN INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and Installation as inaicaiea.
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
structure, Please consult w thpyolur Home Owners Assoc Association and reviebylaws ur deed for any restrthat
ct ons which may a. prohibit such
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
Signature of Owner/ Lessee/Co r as ent for Owner
STATE OF FLORIDA <; �UC C ---
COUNTY OF
The forgoing instrument was acknowledged before me
this L!�Cday of /71M 20,i? by
Name of person making statement.
Personally Known - OR Produced Identification
Type of Identification
Produced
(Sih;iature of NotaNTM
Y
Commission No.
REVIEWS I FRONT
COUNTER
RECEIVED
DATE
COMPLETED
TUUK IVU I RC {A s .
Signature of Contractor/License Holder
STATE OF FLORIDA tt_)c 6t,--
COUNTY
t,COUNTY OF S_-�:
The forgoing instrument was acknowledg�edL before me
this day of2040 by
LA) � n0 D N L --zs
Name of person making statement.
Personally Known \"' OR Produced Identification
Type of Identification
Produced
Notary Public State of Florida Notary Public State of Flgitida
Desiree Fie y Co I n esiree Flexen (Seal)
Expires
0 i 2 tb 022 �40G88 � �� Expires 07122/2022 �
Expires 07/22/2022
ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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