HomeMy WebLinkAbout5101 E Echo Pines Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. D :�/ Permit Number:
9A. 10
1La . Hard --
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
PERMIT APPLICATION FOR: &-Mrltev
PROPOSE❑ IMPROVEMENT LOCATION:
Address: a -11)e° Of rae Ir
Property Tax ID #: 113 - 9'01 - 0-2-9rj --' b" 4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORD:
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 y Plumbing Sprinklers i Generator
Total Sq. Ft of Construction: 77
Cost of Construction: $ 501
Sq. Ft. of First Floor:
Residential x
Lot No. —
Block No.
PJ-W ^1
_ Windows/Doors _ Pond
' / Roof Mc," Pitch
Utilities: —Sewer —Septic
Building Height:_-_�&I-q
OWNER/LESSEE:
CONTRACTOR -
Name —Jo Gt ill/
Name: Luis Quinones
Address:f G' f QS C-i rcfo
Company: Rhino Roofs & General Construction Corp
City: Ple►-te State:F-
Address: 865 S Kings Hwy
Zip Code: 34457 Fax:
City: Fort Pierce State. FL
Phone No. 9- 1''LVg-3>-
r
Zip Code: 34945 Fax:
E-Mail: (t, �( f-di,W'L 3 �FGo�
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 ( 3 :� (t4 I,) --
if values of rnnctn irtinn is jrwn „r ».-. . ncr
- - - -- --- ruencnLC1IC11L IA Ft'q lre[a.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER• Not Appl
Name: NIA .�
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: N/A j
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name: N)A A IA
Address:
City: State:
Zip: Phone:
BONDING COMPANY Not Applicable
Name: N,A
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby matte 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 5t. Lucie County Amendments.
The following building permit applications are exemptfrom 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 attorne before commencing work or recording our Notice of Commencement.
_.
Signature of Owner/ Lessee/Contractor as Agent for Owner 1 Signature of Contractor/License Holder
STATE OF FLORIDA COUNTY OF • Luc( t
Sw,�rn to (or affirmed) and subscribed before me of
Physical Presence or online Notarization
this day of 2020 by
�.� �. w In
Name of person making statement.
Personally Known V OR Produced identification
Type of Identification
Produced
A
{Signature of Notary Public-
eQy
arN00V ►►y MOWY PubW Sa of
Commission No. � 5 al armen M Quinone
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ai3za
REVIEWS FRONT 170NING
COUNTER I REVIEW
DATE
RECEIVED
DATE
COMPLETED
STATE OF FLORIDA `
COUNTY OF ��- � C, e
Swami to (or affirmed) and subscribed before me of
Physical Presence ❑r online Notarization
this day of 2020 by
0 6�us
Name of person making statement.
Personally Known _ OR Produced Identification
Type of Identification
Prod
re of Notary Public -
ion No. 1414 O�.
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW
Notary PUMC S�6e of F
Carmen M Quinones
j]eri}}CommiSSion HH 09:
Gr r+u Expires ovi sr2025
SEA TURTLE MANGROVE
REVIEW REVIEW