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HomeMy WebLinkAbout6905 Citrus Park Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 04/15/2021 Permit Number: Wa r - Building Permit Application Planning and Development services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: Re -roof PROPOSED IMPROVEMENT LOCATION: Address: 6905 Citrus Park Blvd Fort Pierce, FL 34951 Property Tax ID #: 1301-611-0018-000-2 Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: Tear off existing roof and install new shingle roof with peel and stick underlayment New Electrical Meter Second Electrical Meter CONSTRUCTION INFORMATION: X Lot No. 18 Block No. 101 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 5/12 Pitch Total Sq. Ft of Construction: 1897 Sq. Ft. of First Floor: $8700.00 Cost of Construction: $ Utilities: _Sewer _Septic Building Height: 1-Story OWNER/LESSEE: CONTRACTOR: Name Jordan DiFrancesco Name: Luis OuinnnPs Address: 6905 Citrus Park Blvd Company: Rhino Roofs & General Construction Corp p y� Fort Pierce City: State: FL Address: 865 S Kings Hwy Zip Code: 34951 Fax: City: Fort Pierce FL State: Phone No. 772-323-4694 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNS Name:_ Address: City: — ENGINEER: — Not Applicable N/A Zip: Phone FEE SIMPLE TITLE HOLDER: Name: N/A Address: City: Zip: Phone: State: MORTGAGE COMPANY: Name: N/A Address: City: Zip: Phone: Not Applicable I BONDING COMPANY: Name: N/A Address: City: Zip: Phone: Not Applicable State: Not Applicable 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 attornPv hpfnrp mmmcnrinn ,., ..__ _._ .�W! F% V, , C:%�V, U,I, r, yourNoticeoT commencement. Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OF I wat STATE OF FLORIDA COUNTY OF Sw5rn to (or affirmed) and subscribed before me of Sw9rn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of Physical Presence or Online Notarization 2020 by LUG. this day of 2020 by 1 ;' ({ 0116 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 Prouced t (Signature of Notaryi.,�tatl®Gimwa Mete of Florida Carmen M Quinones Commission No. um HH o93277 IA9225 (Signature of Notary Pub ,f State of Florida " roCarmen M Quinones or A r„ Commission No. 14 114 " �ka�o2s 093277 REVIEWS FRONT COUNTER ZONING REVIEW SUPERVISOR REVIEW PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.