HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
date : 6/26/2020
-, �Tr
LT
L
4
i
Permit Number;
Building Permit Application
Plannrng an Deve#opmen t 52rvices
Building and Cady Regulation Division
2300 Virginia Avenue, Ford Pierce FL 34982
Phone; (772) 462-I553 Fax: (772) 462-1578
Commercial Residential xxxx
PERMIT APPLICATION FOR: RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address. 7260 RESERVE CREEK DR
Property Tax ID #: 3322-601 -0015-000-1 Lot No.14
Site Plan Name: Block No.
Project Name'
DETAILED DESCRIPTION OF WORK:
tear off existing roof
install new 1,511 snag lack metal roof FL 17678
install high temp peel n stick underlayment Fl. 9777
New Electrical Meter Second electrical Meer
CONSTRUCTION INFORMATION:
Additional work to be performed
Mechanical
electric
Gas Tank
Plumbing
under this permit -� check all that apply:
Iota! Sq. Ft of Construction: � �7n
Cost at construction: $ LI-50 Co
Gas Piping
. Sprinklers
Shutters
Generator
Windows/Doors
Pond
X... Roof 6/12 Pitch
S. Ft. of First Floor: 3
Utilities: Sewer Septic
Building Height: 1 story
OWNER/LESSEE:
CONTRACTOR:
Name KAY RODRIGUEZ
Name;LUIS QUINONES
Address: 7260 RESERVE CREEK DR
Company; RHINO ROOFS & GENERAL CONSTRUCTION CORP.
City: PSL State:
Addresso865 S KINGS HWY
Zip Code: 349$� Fax:
City: Fort Pierce State: FL
Phone No. 7724862126
Zip Code,-- 34945 Fax:
E-Mail:
phone NQ772-449-1 139
Fill in fee simple Title Holder on next page. = if different
E-Mailinfo@RoQfsByRhino.cvm
from the owner listed above
Stake or County LicenseCCC1331472
If
value
of construcfilon is
2500r 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.
City: State.
zi I. P: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
Address:
C.-ity:
zi P*Phone:
- - — ------------- .-
MORTGAGE COMPANY: Not Applicable
Name:
Address:
city:
Z-1p: Phone:
BONDING COMPANY:
Name:
Add r:
City,
Zip: Phony
t
_Not Applicable
OWNER/ CONTRACTOR AFFIDVIT6. Application is hereby made to obtain a permit to do the work and installation as indicated.
! 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 willauthorize the permit balder to build the subject structure
which is in conflict with any applicabfe Hams Owners Association rues, bylaws or and covenants that may restrict or prahrbit 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, per -form the work
in accord 2nce with the approved plans., the Florida Building Codes and St. Lucie Counter Amendments.
The following bu i I i ng pe rm it a p I i ati c ns are exem pt from u n dergoing a fu is con currency review: room addition
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 toyour property. A Notice of Commencernent mist be recorded in the public records of St.
0
Lucie County and posted an the jobsite before the first inspection. If you intend to obtain financing, consult
with fender or an attorney before commenc.ing work or recording Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Dwyer Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT L'JkCE COUNTY OF sAisvr LUc+E
Sworn to (or affirmed} and subscribed before m2 of Swore to (or affirmed) and subscribed before me of
xx Physical Presence or Online Notarization xx Physicsl presence or Online Notarization
this 2$ dayof fuNE 2020 by this 26 day of JuuE 2020 by
LUES QUINONES LL7lS Qi11ND1JE5
Name of person making statement. Name of person making statement.
Personally Known x�( OR Produced Identification Personally Known xx OR Producers Identification
Tyke of Identification Type of identification
Produced Produced
(Sihnatu'r(!'i"-o'f Notary Public- State of Florida (Sign""ature of Notary Public- State of Flory a j
Commission No. �4 Notary Pub] pf Florida Commission N4. •sYaNotary Public Ji3LsM)Flarn�'0381
e�iree ���xe� "�'siree FIe
My : ammrssion GG 2a0� 'LE My Commission GG 24�88
REVIEWS FRO 7 OR PLANS VEGET 1 1rANT61fTT0eNev%M^A^N GCOVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED