HomeMy WebLinkAboutappAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/2/19 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: RE -ROOF , A o V
PROPOSED IMPROVEMENT LOCATION:
Address: 718 SE HIDDEN RIVER DR
3427-701-0053-000-8 18
Property Tax ID #: Lot No.
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Site Plan Name: Block No. 3
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Project Name:
DETAILED DESCRIPTION OF WORK:
(TEAR OFF EXISTING ROOF INSTALL NEW ROOF TILES POLYGLASS #90 FOAM PEAL STICK UNDERLAYMENT
SYNTHETIC UNDER LAYMENT INSTALL IMPACT SKYLIGHT
CONSTRUCTION INFORMATION:
;Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Li, oaa Sq. Ft. of First Floor: 2463
Cost of Construction: $ 35,000 Utilities: —Sewer —Septic
Windows/Doors
'>-, Roof 6/12 Pitch
Building Height: 1-story
OWNER/LESSEE: - - . • .
CONTRACTOR: - -
Name Gillies Lizotte
Name:LUIS QUINONES
Address:718 SE HIDDEN RIVER DR
Company: RHINO ROOFS & GENERAL CONSTRUCTION CORP.
City: PORT ST LUCIE State: _
Address:865 S KINGS HWY
City: FORT PIERCE State: FL
Zip Code: 34983 Fax:
Phone No.
Zip Code: 34945 Fax:
Phone No 772-446-1139
E-Mail:
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 331472
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION, LIEN LAW INFORMATION:
GNER/ENGINEER: _ Not Applicable
!Name:
(Address:
City: State
,Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
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.
I
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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrum nt was acknowledged before me
thisr� day of 20 / by
Name of person making statement.
Personally Known '>e—' . OR Produced Identification
Type of Identification
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF WCiI
The forgoing instru nt was acknowledged before me
thi� day of 20,I by
15 S
Name of person maki g statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
OIL
(Signature of Nota - e "'�"��-
( ignature of Notary P c- a e o o f 8a
�.1si _ Notary Public StMe of Florida .yY Notary Publi State of Boddie
Commission No. Desiree FIep7�� en Desiree Flexen
Comm!ss� S4b2406W Commission No. < My com.(&MIOG 240686
wF Expires 07122/2022 OF R Expires 07122/2022 '
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW I REVIEW REVIEW REVIEW
RECEIVED
COMPLETED