HomeMy WebLinkAbout8303 Kenwood Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
40
Date:
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenge, Ford Pierce FL 34982
Phone: (772) 462-1553 Fax,.- (772) 462-1578
�erra��t Number:
Building Permit Application
Commercial ResidEN
ial X
PERMIT APPLICATION FOR:
� PROPOSED IMPROVEMENT LOCATION:
Haaress: � oe.�:� /ia°Tc�A67
�f�i��/
Property TaxlD #0�'�- �j(,�5- L`i5C./t- ov-�
Site Plan Name:
Project Name:
L&k"WeLu
DETAILED DESCRIPTION OF WORK:
e
New Electric�9 Meter Second ElectricaB
CONSTRUCTION INFORMATION,
eter
, f- in"'Z
wr
Additional work to be performed under this permit — check all that apply:
Mechanical � Gas Tank � Gas Piping � Shutters
Electric Plumbin
Total Sq. Ft. of Construction:
Generator
Lot No. �
Block No.
�l
Windows/Doors Pond
Roof �%l�� Pitch
Sq. Ft. of First Floor.
•..VZ-A vk-.U"bLruc;LrUn: ;) II I, X (/ U, Utilities: ` Sewer � Septic Building Height: io
OWNER/LESSEE:
Name IWaltly tldln-7 (011iL`d'R,
4
Address:_ S30no Nrlf��Ui�� ,%�✓ �.¢�
City: 151-1- pi-ci'fe' State:f`&
Zip Code: q�/ Fax.
Phone No. 3'7.'-)(r��(Z��'-
E-Mail.-
Fill in fee simple title Holder on next page if different
from the Owner listed above)
CONTRACTOR:
Name: Luis Quinones
Company: Rhino Roofs & Genera! Construction Corp
Address: 865 S Kings Hwy
City: Fort Pierce State: FL
Zip Code: 34945 Fax
Phone No 772-446-1139
E-Mail info@roofsbyrhino.com
State or County License CCC1331472
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: NSA .. Name: NSA
Address: Address:
City: State: City; State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable -
Name: NSA
Address:._..
City:
Zip: Phone:
BONDING COMPANY:
Name,
Address:
city:
Zip: Phone;
_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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which isin conflict with and applicable Home Owners Association rules, bylaws or and covenants th
structure. Please consult withyour Home owners Association and reviewyour deed far an restrictions w�ilch rria o� prl hib�t such
y Y apply.
In consideration of the granting of this requested permit, I do hereby agree that ! will, in all respects, perform e 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 41
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 fir t inspection. If you intend to obtain financing, consult
with lender or an atto.rney before commencing work or recording our Notice of Commencement.
F— I
Signature of Owner/ Lessee/contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
a .
Sworo (or affirmed) and subscribed before me of
P hYsieal Presence or Online Notarization
this day of 202000rby
4 r
Name of person makinVsta ment.PesonallKnown� � °
Type of Identification
Produced
(Signature
�6-
K
COMMiss,66 N.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
ev. 16,W] Zu
Identification
uK Produced
Lary Public- Stake of Florida }
FRONT
COUNTER
(Seal)
ZONING
REVIEW
SUPERVISOR
REVIEW
Signature of Contra ctor/Li ce nse Holder
STATE OF FLORIDA
COUNTY OF �� L(��'[�
Sworn to (or affirmed) and subscribed before me of
Le`P""hysical Presence or ine Notarization
this day of AAL-111F A 20;Woty
1"J U'l �t an
Name of person making statement.
Personably Known �OR Produced Identification
Type of identification
Produced
{Signature of Not
Commission Ip6r.,"
PLANS
REVIEW
ubli-c- State of Florida }
VEGETATION
REVIEW
(Seal)
SEA TURTLE
REVIEW
MANGROVE
REVVEW