HomeMy WebLinkAboutBUILDING 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
Permit Number:
Building Permit Application
2300 Virginia Avenue, Fort Pierce FL 34982
Phone-, (772) 462-1553 Fax: (772) 462-1578
Commercial
PERM11" APPLICATION FOR: �n0 f�f;�..i
PROPOSED IMPROVEMENT LOCATION:
Address: '%✓l ii':r� Jr
in �'ta II
Property Tax I D #: f;4. �
Site Plan Name:
Project Name:
"r-�a
DETAILED DESCRIPTION OF WORK:
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
Residential X
Windows/Doors
Lot No.
Block No.
cI
_Electric _Plumbing _Sprinklers _Generator _ Roof Pitch
Total sq. Ft of Construction: Sq. Ft. of rs� Floor:
Cost of Construction: $ Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Nametu"rn Name: Luis Quinones
Address: Company: rhino Roofs & General Construction Corp
City:,/� State:, Address: 865 S Kings Hwy
Zip Code:.3���% Fax: City: Fort Pierce State: FL
Phone No. `'/ �a � .�J1 q - zj4)S1_1 Zip Code: 34945 Fax:
E-Mail: phone No 772-446-1139
Fill in fee simple Title Holder on next page if different E-Maill info@roofsbyrhino.com
from the Owner listed above State or bounty License CCC1 331472
11 Value yr cvnsErumon is c�uu or more, a KELoKDED Notice of Commencement is required.
If value of HAVE is $7500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
8
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not ApplicaUe
Name: NSA —
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: Ad d ress:
City: City:
Zip: Phone: Zip: Phone:
&-ft a a R a Is" 'aft'-w-M E�� . ... . . ---- - -- I I
vwrVtK/ LVIV I KAGTOR AFFIDVIT: Application is hereby made to obtain a permit to do the vorvrk 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.
Inconsideration of the granting of this requested permit, I do hereby agree that I will, i
in accordance with the approved plans, the Florida Building Codes and St. Lucie County
i all respects, perform the work
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 SINNER: Yourr failure to Record a Notice of Commencement may result in paying twice for
Is
mpravements 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 fender or an attorney before commencing work or recording, Notice of Commencement.
Signature of Owner) Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Lac� COUNTY OF L
Swop to (or affirmed) and subscribed before me of Swo7 to (or affirmed) and subscribed before me of
� .0
Physical Prese ce or Online Notarization vPh sisal Prese ce or Online Notarization
this day of 20A by this 13 day of 20X by
Lu... Lyuj k).it'V1tiA
Name of person making statement. Name of person making statement.
Personally Known � OR Produced Identification PersonallyKnown / OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature:�lry Vubl" FlorRionPerez {Signature o� �I� ry Publiy ��' �f Florid�ban L. Perez
Cornmissio:No'6. app=�:CGG� = CQM #GG922604
�y p��bc�aber 94 2023 Commission No. PRO�� � XPI
2023
do ,.qiillllll
r tul�� k�����''��i�� �ti�wj�'+ Bonded Thru Aaron NotaN
� � Bonded Thru�aro� Notmf� ��
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev-5/6/20