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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 12/23/2020 Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: Re-roof RRCP SED tM""p, O41E11%�E�1F tE A'FIC f�f: Address: 3201 Bent Pine Drive Fort Pierce,FL Property Tax ID#: 1327-801-0042-000-2 Lot No. 38 Site Plan Name: Block No. Project Name: DETAtLEDDESCIR PTI! N 4E 1!V(JRK Tear off existing roof and install new Boral Galena Tile Roof with Ployglass TU Plus Underlayment. New Electrical Meter Second Electrical Meter CQNSTRUCTION,'','W RNtATtol .. 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 7/12 Pitch Total Sq. Ft of Construction: 2577 Sq. Ft. of First Floor: 985.00 Cost of Construction: $ 26, Utilities: —Sewer —Septic Building Height: 1-Story OWNER/LESSEE CONTRACTOR: Richard Jackson Name Name: Luis Quinones Address:3201 Bent Pine Dr Company: Rhino Roofs&General Construction, Corp City: Fort Pierce StatFFL Address: 865 S Kings Hwy Zip Code: e�t51 Fax: City: Fort Pierce State: FL Phone No. ' 7a'�U '"((J�l� Zip Code: 34945 Fax: E-Mail: Phone No 772-446-1139 Fill in fee simple Title Holder on next page(if different E-Mail info@roofsbyrhino.com from the Owner listed above) State or County License CCC-1331472 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. SUP�L:�MENTAL CdI�STf�UCTI�N.LIEN lAW°��tFOfiN1i4TF©N:.. '. DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: N/A Name: N/A Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: N/A Name: N/A Address: Address: City: 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 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 COUNTY OF c 1 Luc( e COUNTY OF �> l Swoph to(or affirmed)and subscribed before me of Swwn to(or affirmed)and subscribed before me of ,� Physical Presence or Online Notarization Physical Presence or Online Notarization this A day of 0001 .b e r ,2020 by this day of 2020 by Name of person making statement. Name of person making statement. Personally Known v/ OR Produced Identification Personally Known V/ OR Produced Identification Type of Identification Type of Identification Produced "" Produced . e_ (Signature of No y Public Florid L, Perez (Signature of Not Public-StateJof 'd• �M.6GG92260�4 Dian L Al , Commission o. '� E .October 14,1Commission N � �C'� a1)Cpp�p�, 0 '' Boded Thor Aaron Nov ExObw:Octo REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. 5/6/20