HomeMy WebLinkAbout Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/14/2020 Permit Number:
l� 1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Re -roof
PROPOSED IMPROVEMENT LOCATION:
Address: 3102 Scarlet Tanager Ct Port Saint Lucie, FL
Property Tax ID #: 3424-702-0047-000-7
Site Plan Name:
Project Name:
X
Lot No. 37
Block No. 58
DETAILED DESCRIPTION OF WORK;
Tear off existing roof and install new IKO Cambridge Shingle Roof with Weather Lok Mat Peel and Stick Underlayme
New Electrical Meter Second Electrical Meter
4
CONSTRUCTION INFORMATION:
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 X Roof 6/12 Pitch
Total Sq. Ft of Construction: 1315 Sq. Ft. of First Floor:
Cost of Construction: $ Utilities: —Sewer _ Septic Building Height: 1- Story
OWN ERAESSEE:
CONTRACTOR:
Name Daniela Rivera
Name:Luis OijinonPs
Address: 15512 Locke Ave
Company: Rhino Roofs & General Construction, Corp
City: Whitestone State: NY
Address: 865 S Kings Hwy
Zip Code: 11357 Fax:
City: Fort Pierce State: FL
Phone No. 718-450-5450
Zip Code: 34945 Fax:
Phone No 772-446-1139
E-Mail:
Fill in fee simple Title Holder on next page (if different
E-Mail info@roofsbyrhino.com
State or County License CCC-1331472
from the Owner listed above)
If value of construction is 2500 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: N/A
MORTGAGE COMPANY: Not Applicable
Name:_ N/A —
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: N/A
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: N/A —
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, 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 Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA i r CC
COUNTY OF �� COUNTY OF LLY
Sworn to (or affirmed) and subscribed before me of
`/ Physical Presence or Online Notarization
this 1 i- day of U V ,Ur 2020 by
Name of person making/statement.
Personally Knowny OR Produced Identification
Type of Identification
Produced
of Notary
Commission No.
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Sworn to (or affirmed) and subscribed before me of
Physical Pre nce or Online Notarization
this 14 day of 2020 by
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Name of person making statement.
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Personally Known _
Type of Identification
Produced
(Sig
OR Produced Identification
State o )Ulan L. PI
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