HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/3/2020 Permit Number:
V NO MET Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: RE -ROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 7630 VINTAGE WAY PORT ST LUCIE FL 34986
Property Tax ID #: 3322-313-0014-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
TEAR OFF EXISTING ROOF INSTALL NEW METAL 1in snap lock roof 40
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. Bldg 12
Block No. sec W
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator Roof 5/12 Pitch
Total Sq. Ft of Construction: 22 squares Sq. Ft. of First Floor: 1645
Cost of Construction: $ 24,000 Utilities: —Sewer _ Septic Building Height: 1 story
OWNER/LESSEE:
CONTRACTOR:
Name KAY RODRIGUEZ
Address:7630 Vintage Way
Name: LUIS QUINONES
Company: RHINO ROOFS & GENERAL CONSTRUCTION CORP
City: Port St Lucie State: g I-'
Zip Code: 34986 Fax:
Phone No. 772-486-2126
Address:865 S KINGS HWY
City: FORT PIERCE State: FL
Zip Code: 34986 Fax:
Phone N0772-446-1139
E-Mail:2kayrod@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail info@roofsbyrhino.com
State or County License CCC1 331472
Ir Value oT consiruction is 2SUU or more, a KMUKutu Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
�+����ivr`ry�rvu�rvttK: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
ORMATION:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: _____________ Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY:
Name: Not Applicable
Address: Name: —"
City: Address:
City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that noworkor installation has commenced prior to the issuance of a permit.
which is Inc or1 liet with any representation
a Owis ners Associationting iru ls,authorize ar and covenants that many restrict tborr subject
bit 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 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 our Notice of Commencement
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA �; �` / I � )
COUNTY OF / / V® l
Sworn to (or affirmed) and subscribed before me of
Physical Pres ce or Online Notarization
this L day of 2020 by
L)
Name of person making stat ment.
Personally Known OR Produced Identification
Type of Identification
of N
Commission No. Notary Puhh State of Florida
esime FV & N
c My Commission GG 240888
Expires 07/22/2022
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
� 1 .0
Sworn to (or affirmed) and subscribed before me of
>e- Physical Presence or Online Notarization
this day of 2020 by
Name of person making s atement.
Personally Known_ OR Produced Identification
Type of I'Ttification
Produc,rsd ', 117
(s19-146tuile-of Notary P
Notary P blic State of Florida
Commission No. m Desire��ggn
My Comhi ss "cii (i GG 2408M
8ja ptJ° Expires 07/22/2022
PLANS VEGETATION SEA TURTLE MANGROVE
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