HomeMy WebLinkAbout3100 Palm Warbler Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JUNE 12, 2020
Permit Number:
P (CIOE
C o Ui 1
P Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential xxx
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 3100 PALM WARBLER CT.
Property Tax I D #: 3424-702-0061-000-1
Site Plan Name:
Project Name:
J DETAILED DESCRIPTION OF WORK:
tear off existing roof, install new shingle roof FL 10674 with 30# felt underlayment
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
_ Electric
`Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 23026.00
_ Gas Piping
_ Sprinklers
Lot No.51
Block No. 58
_ Shutters — Windows/Doors _ Pond
_ Generator ><_ Roof
Sq. Ft. of First Floor: 1786
3/12 Pitch
Utilities: —Sewer _Septic Building Height: 1
OWNER/LESSEE: -
CONTRACTOR:
NameJOHN A MITCHELL
Name:LUIS QUINONES
Address:3100 PALM WARBLER CT.
Company: Rhino Roofs & General Construction Corp
City: Port St Lucie State: _
Address:865 S Kings Hwy
Zip Code: 34952 Fax:
City: Fort Pierce State: FL
Phone No.305-962-1604
Zip Code: 34945 Fax:
E-Mail:
Phone No772-446-1139
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)
IT value oT Construction is zbuu or more, a RECORDED Notice of Commencement is required.
If value of HAVC 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:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
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, 1 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording your Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
Sw l.rn to (or affirmed) and subscribed before me of
ysical Pres or Online Notarization
thisay of Mom-- 2020 by
1 ZiL)l
Name of person making stat4ment.
Personally Known ->e----OR Produced Identification
Type of Identification
Notary
Commission No.
Notary Public State of Florida
Desiree Ft exe
My Comm(MG 2400M
Expires 07/22/2022
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Swam to (or affirmed) and subscribed before me of
''Physical Presen or Online Notarization
this - L,—t-day of ll irf� , 2020 by
U�A)0NE-3_,
Name of person making statement.
Personally Known�OR Produced Identification
Type of Identification
Produced_ .�► _
(SiKattxr`e of Notary PFsblk to 06fal9Fi A4State of Florida
Desiree Flexen
r My Comm' ion G 2406M
Commission No. Expires o 2
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