HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/15/2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
Residential X
PERMIT APPLICATION FOR: Re -roofing
PROPOSED IMPROVEMENT LOCATION:
Address: 6504 Ocala Ave Fort Pierce
Property Tax ID #: 1301-612-0356-000-6
Lot No. 14
Site Plan Name:
Block No. 133
Project Name:
DETAILED DESCRIPTION OF WORK:
Tear off existing roof and install new metal roof with peel and stick underlayment.
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 )( Roof 4/12 Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: 1749
Cost of Construction: $ 11,375 Utilities: —Sewer _ Septic Building Height: 1- Story
OWNER/LESSEE:
CONTRACTOR:
Name Jeffery Smith
Name: Luis Quinones
Company: Rhino Roofs & General Construction Corp
Address: 6504 Ocala Ave
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 772-205-9304
Address: 865 S Kings Hwy
City: Fort Pierce State. FL
Zip Code: 34945 Fax:
Phone No 772-446-1139
E-Mail:
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 CCC- 1331472
WtMv v1 wmrnencemeni is requerea.
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: NSA
Address:
MORTGAGE COMPANY: Not Applicable
Name: N/A -
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name: NSA
BONDING COMPANY: Not Applicable
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 koAi_ce_af Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF St. Lucie
STATE OF FLORIDA
COUNTY OF St. Lucie
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15 day of February . 203Z by
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
this 15 day of February 2020 by
I
Luis Quinones
Luis Quinones
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of //a ic- St orida)18n L. P@r@Z
missio NU. ay922604 $ � �? �= S IOI. GG92260
`, E�xpirea: October 14, 2
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(Signature of Not ry, ublic- Sta rida) P
Commission 99922604 a,�Omro.IGG9226
• N xpi�:: October 14,
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.