HomeMy WebLinkAbout5101 Echo Pines Siding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Planning and Development Services
Building and Code Regulation Division
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Permit Number:
Building Permit Application
zsuv wrginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial
PERMIT APPLICATION FOR: SlL�f�C
PROPOSED IMPROVEMENT LOCATION:
Address: !) j
Property Tax ID #:
Site Plan Name:
Project Name:
'Cho _fne
DETAILED DESCRIPTION OF WORK:
C1,_ rc (-C
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
E__
Residential X
Lot No. q0.'7
Block No.
Additional work to be performed under this permit --check all that apply
_Mechanical _Gas Tank _Gas Piping � Shutters Windows/Doors Pond
Electric Plumbincy _Sprinklers � Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of first Floor:
Cost of Construction: $ r OV Utilities: _Sewer � Septic Buoiding Heig ht:
OWNER/LESSEE: CONTRACTOR:
Name ( J()
Marne: Luis Quinones
Address:, �'� � %� � �``��/�el C' j rc((f Company: Rhino Roofs &General Construction Corp
City: �` P1 e1T State:rL Address: 865 S Kings Hwy
Zip Code: Fax: City: Fort Pierce. State: FL
Phone No �'`��� �] ��•�- � �� Zip Code: 34945 Fax:
E-Mail:, tPU
(i 6UUJ A k,64 Phone No 772-446-1139
k,.O/ Fill in fee simple i le Holder an next page (if different E-Mail info@roofsbyrhino.com
from the Owner listed above) State or County license CCC1331472
If value of construction is 2soo or mnra R;:rnQnen
-� � ■ ■ ■ ■fir■ + #ri i M � ■� �% � �l r r ■ nitnen e m i re it ■
If value of HAVC is $7.,500 or more., a RECORDED Notice of Commencement 's required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANYS
Name: NSA
Address:
City: State:
Zipe Phone
FEE SIMPLE TITLE HOLDER.0 Not Applicable
Name: Nan
Address:
City:
Zip: Phone:
Not Applicable
Name: NIA
Address:
City: State:
Zip: Phone:
Not Applicable
Name: NIA
Address:
City:
Zip: Phone:
BONDING COMPANY:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the irk and installation as indicated.
certify that � work or installation has commenced prior to the i
a�ssuance oa 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 structure. Please consult with your Home Owners Association and reviewyour died for an restrictionswhich ma °a prhibit such
y Y pPly.
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.
Lucre 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 recordin our Notice of Commencement.
Signature --of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA � STATE OF FLORIDA S
COUNTY OFCQUNTY OF...'�,
S W rn to (c�r affirmed) and subscribed before me of Swo�h to �or affirmed} and subscribed before me of
��'$ �P Y4�
y P�eser�ic�e� Onlin202q!r
Notarization j� Ph�s icai Prese ce or Onfine Notarization
�� by this �`�+day of 21!T
by
rul-�
Luis U..,( 11, clyu<
Name of person making statement. Name of person making statement.
Personal) KnownIdentification,f
Y DR Produced Personally Known Y OR Produced identification
Type of Identification Type of identification
Produced Produced
(Signature of Notary P 'c- , lorida �Ulja{� L. �8ereZ (Signature of IV aryk6�-c-State of F ,r U l�a n L.�
Commission N � � = e9MM. # GG92260� '� � �� '"�� COMM*#GG�
/� A �ornmissi No. �� � �-� ' �
� � x�/��M. 000ber i4,2 2� r �e� ��E pie • OC oble x r
A&- A Thm AO%P^n k A i
BOR
A�y � .��� B4nded T�ru AI
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE ........
COMPLETED
Rev. ,
604
012023
Notml.,,