HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Planning and Development Services
Permit Number.-
Building Permit Appliat*con
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone-.(772 462-1-553 Fax: 772 78
Commercial Residentiad X
PERMIT APPLICATION FOR: /7�e��
PROPOSED IMPROVEMENT LOCATION:
Address: %!5k� r
Property Tax I D #:
0/
5�2_4v - - j7 , ..�
Site Plan Name:
Project Name: _ ����✓� (�Y��
DETAILED DESCRIPTION OF WORK:
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1
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New Electrical Meter Second Electrica9 Meter
CONSTRUCTION INFORMATION:
Additional work to be performed
Mechanical
Electric
Gas Tank
under This permit — check all that applyo
Lot No. /
Block No.
Gas Piping _Shutters Windows/Doors Pond
Sprinklers � Generator Leo" Roof -pitch,
It
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height: lz5L
OWNER/LESSEE: CONTRACTOR:
Name Name: Luis Quinones
Address: 8't&/6 %�'ri/G Company; Rhino Roofs-& General Construction Corp
f _r City: � �. /Id! State: Address: 865 S Kings Hwy
Zip Code: Fax: City: Fort Pierce State: FL
Phone No. 7•- �p�a�;��c�r� 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 CCC1 331 472
If values of rnncrru'rc..., :c xnn ... .,,.,.... _ se.-.,n..�...j-'--- -` gffim
VMMU-4 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $
-- wwmm, .� IWO "%0%1%01z go &. JW%J 1 111 1=I a r.%Lil n rvoiuceOTLommencement is requw1red.
If valf HA is $7,r more RECORDED
Noti r r r uir .
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable Name: N/A MORTGAGE COMPANY.* Not Applicable
Name:—
NSA
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: NSA —
Name: NSA
Address: Address:
City: City:
Zip Phone: Zip: Phone-,
fl1A/IUCQ//'AnITDA/-rno wrrr.•.r. .. ..
--• ••omo., %.vim p nr►%. u vR I•ll'rIV V F 1 ;Application is hereby made to obtaina permit to do the work and i�stal�ation as indicated.
I certify that no work or installation has commenced prior to the dr
issuance aa permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is �n conflict with and applicable Home owners Association rules, bylaws or and covemants that ma restrict or rohibit structure. Please consult with your Home OWners Association and review your deed for any restrictions which may apply. such
Inconsideration of the granting of this requested permit, I do hereby agree ghat 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 recordRP
ing Notice of CommencementG
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holde-- r
STATE OF FLORIDA
n STATE OF FLORIDA � Lut.7
CQUNTY OF C�iF CQUN�X, � -e
Swo�,rn to (or affirmed) and subscribed before me of Sworn to f or affirmed) and subscribed before me of
+� Ph ical Pres nce or Online Notarization � Physical Prese e or online Notarization
this ��'�day of � �.i�,� 20 by
phis/154ay�, �f Jet. 20ZK. by
All.
Name of person making statement. Name of person making statement.
Personably Known �� CDR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of i4o-ta � ublic- lurid � ��,(Signature of No"'
ry Public-oridaHlanPerez
d Comm. # GG922604
COMMIs�si�n No. M� ��- ��� �' CaMt�l.#GG922604
• � E �s-0 Ilk
vr : Oc�aber � 4, 20 � � � �� OCtober 14, 2 0 3
Bonded Thru Aaron Nota
44
' '"" '' Bonded Thm Aaron Not �,, ...,••.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.5/6/20