HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/28/2021 Permit Number:
91r'71 �-'Tc Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XXXX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:SOffltt
PROPOSED IMPROVEMENT LOCATION:
Address: 7630 Vintage Way
Property Tax ID #: 3322-313-0014-000-0
Site Plan Name: RESERVE GOLF VILLAS BUILDING 12
Project Name:
DETAILED DESCRIPTIONOF WORK:
INSTALL NEW VINYL SOFFITT AROUND WHOLE HOME FL 32502
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical — Gas Tank —Gas Piping _ Shutters
Electric _ Plumbing
Total Sq. Ft of Construction:` 60 //mar
Cost of Construction: $ 2000.00
_ Sprinklers
_ Generator
Lot No.12
Block No. N/A
_ Windows/Doors Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: _ Sewer _ Septic Building Height: 1
OWNER/LESSEE;
CONTRACTOR -
Name KAY RODRIGUEZ
Name:LUIS QUINONES
Address:7360 VINTAGE WAY
Company: RHINO ROOFS & GENERAL CONSTRUCTION CORP.
Address:865 S KINGS HWY
City: PORT ST LUCIE State: —
Zip Code: 34986 Fax:
City: FORT PIERCE State: FL
Phone No.772-486-2126
Zip Code: 34945 Fax:
E-Mai1:2kayrod@comcast.net
Phone N0772-446-1139
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 CRC1332648
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 CONSTRUCTIONLIEN LAW INFORMATION:
GINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State: _
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, 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 attornev before commencing work or recording your Notice of Commencement.
Signature o wner/ Lessee/C5 c or as g nt for Owner
STATE OF r
COUNTYOFORiDA�
Sworn to (or affirmed) and subscribed before me of
� Physical Presence or Online Notarization
this day of `Z 20 b by
Name of person making statement.
Personally Know►,.OR Produced Identification
Type of Identification
Produced /1)
(SknkdY6 of Ncleary Public- State of Florida )
Commission Nolte '&V w — PubllotaidofFlorida
Desiree FleXen
COUNTER I REVIEW I REVIEW
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder
STATE OF FLORIDA<:�_�_
COUNTY OF
Syvprn to (or affirmed) and subscribed before me of
thisPhysical Presen a or Online Notarization
day ofp� , 2O Iby
Name of person makink statement.
Personally Known_ OR Produced Identification
Type of Identification
"nature of Notary Public- Statelorida)
1$
Commission No. -9to (Seal %a.
PLANS I VEGETATION ( SEATURTLE
REVIEW REVIEW REVIEW
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