HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MAY 21, 2020
•
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 TYPE: RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 10751 W MIDWAY RD
Property Tax ID #: 3304-501-0056-000-7
Site Plan Name:
Project Name:
Permit Number:
Building Permit Application
Commercial Residential xx
I DETAILED DESCRIPTION OF WORK:
install new 5V metal roof FL 17678 with peel & stick underlayment FL9777
for flat roof portion install polyglass polyfresko NOA attached
CONSTRUCTION INFORMATION:
Lot No.2 & 7
Block No.
Additional work to be performed under this permit– check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters — Windows/Doors
_ Electric Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction. $ 30000.00
Generator is Roof 4/12 Pitch
Sq. Ft. of First Floor: 2950
Utilities: 'Sewer `Septic Building Height: 1
OWNERAESSEE:
CONTRACTOR:
NameMERLE D BARBARE
Name: LUIS QUINONES
Address: 10751 W MIDWAY RD
Company: Rhino Roofs & General Construction Corp
Address: 865 S Kings Hwy
City: Fort Pierce State: _
Zip Code: 34945 Fax:
City: Fort Pierce State: FL
Phone No. 772-940-6249
Zip Code: 34945 Fax:
E-Mail:johnt@mfps.us
Phone N0772-446-1139
E -Mail info@roofsbyrhino.com
Fill in fee simple Title Holder on next page ( if different
State or County License CCC1 331472
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 LAW 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:
UVNwtK/ WIN I KAG I OR 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 1 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/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me
this day of �242'�D by
LUIS QUINONES
Name of person making statement.
Personally Known_ IS-.'_ OR Produced Identification
Type of Identification
Produced
�0r ° Notary Public State of Florida ."
Desiree Rexen
. c My Commission GG 240686
Expires 07/22/2022
(Signature of Notar
Commission No.
(Seal)
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFSTLUCIE
The forgoing instrLpent
thi<2L
was acknowledged before me
clayof-, 20
by
LUIS QUINONES
VEGETATION
Name of person making statement.
MANGROVE
Personally Known_ OR Produced Identification
COUNTER
Type of Id t' '
REVIEW
Produced ,,.��
l•
Desiree Flexen'
REVIEW
My Commission GG 240M
os c e(` Expires 07/22/2022
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1