HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: MAY 22, 2020 Permit Number:
•
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:
Building Permit Application
Commercial Residential xx
Address: 7679 WYLDWOOD WAY PORT ST LUCIE FL 34986
Property Tax ID #: 3321-801-0008-000-0
Site Plan Name:
Project Name:
Lot No. 8
Block No.
DETAILED DESCRIPTION OF WORK:
tear off existing tile and install new tile roof Bel -Air see NOA attached install Peel & Stick 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:
Cast of Construction: $LIJ, 400 Utilities: _ Sewer _ Septic Building Height: 1
OWNERAESSEE:
CONTRACTOR:
NameKenneth Gardella
Name: Luis Quinones
Address: 7679 Wyldwood Way
Company: Rhino Roofs & General Construction Corp
Address:865 S Kings Hwy
City.. Port St Lucie State: _
Zip Code: 34985 Fax:
City: Fort Pierce State: FL
Phone No. 561-289-505
Zip Code: 34945 Fax:
Phone No 772-446-1139
E -Mail info@roofsbyrhino.com
E-Mail:shoemanflorida@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CCC1 331472
IT value of construction is �ZWU 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:
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
W w \..\.irs . r.ir%rn nn will Al rnoiucV RFFnDF RFrnionING YOUR NOTICE OF COMMENCEMENT."
Rev. 2/7/19
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA �'� ��C %
STATE OF i U
FL�� 1 l
Y j
COUNTY OF C
The forgoing instr ment was acknowledged before me
20-D:Dby
The forgoing instru n was acknowledg�ed�before me
this �y of 20c by
thi;��- day of _
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
ILZL�U'G
(Signature of Notary=00CNotary
(Signature of Notary Public- State of FI ida )
tate of Florida
er�`
Commission No.C#G 240888
Fav Notary Public 5�g lrlda
Commission No. iree Flex`2022
< My commission GG 240888
Exoires 07/22/2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19