HomeMy WebLinkAbout4751 San Diego Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/04/2021
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
PROPOSED IMPROVEMENT LOCATION:
Address: 4751 San Diego Ave Fort Pierce, FL 34946
Property Tax ID #: 1431-703-0121-000-9 Lot No. 14/15/16
Site Plan Name: Block No. F E
Project Name:
DETAILED DESCRIPTION OF WORK:
Tear off existing roof and install shingle roof with metshield peel and stick underlayment and 2-ply polyglass
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 _ Windows/Doors Pond
Electric — Plumbing Sprinklers _ Generator X Roof 3/12 Pitch
Total Sq. Ft of Construction: 1860
5q. Ft. of First Floor:
DOQ
Cost of Construction: $ $1 Q,Utilities: —Sewer — Septic Building Height: I- Story
OWNER/LESSEE: CONTRACTOR:
Name Ulysses Neal Sr
Name:
Address:47 1 San Diego Av Company: Rhino Roofs & General Construction, Corp
City: For4Pierce State Address: 865 S Kings Hwy
Zip Code: Fax: City: Fort Pierce State: FL
Phone No. 772-332-3982
Zip Cade: 34945 Fax:
E-Mail: Phone No 772-446-1139
Fill in fee simple Title Holder on next page 4 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 HOLIER: Not Applicable
BONDING COMPANY: Not Applicable
Name: N/A
Name: N/A
Address:
Address:
City:
City.
Zip: Phone:
Zip: Phone:
AI Alt RI L--n 1 d-e%a Frn a-m a
.-. rw a■F_n► a.WIM 1 1 WIN mirr'iuvi i . Appiication 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 he 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 [ , Lu (I e STATE OF FL
COUNTY pFORIDA �� - W C
COUNTYOF _]
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this day of 2020 by
Name of person making statement.
Personally Known rV/ OR Produced Identification
Type of Identification
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Lure of Notary Public- State of rloriVa )
Commission No. .�� l I) Notary Publ:c State
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DATE
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DATE
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Sw P to (or affirmed) and subscribed before me of
V Physical Presence or Online Notarization
this day of 2020 by
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Name of person making statement.
Personally Known .VI OR Produced Identification
Type of Identification
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of Notary
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