HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date ``1 1� Permit Number:
iiiiiiiiiinlimil Building Permit Application BAN o 4 7019
Planning and Development Services 51', Lucie County, Per "„gA(li
Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 BYSt. Lucie
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 595 SE AIROSO BLVD. PORT ST LUCIE FL
Legal Description: RIVER PARK -UNIT 6 BLK 57 LOT 10 (MAP 34/28S)
Property Tax ID It: 3419-545-0028-000-1
Site Plan Name:
Project Name:
Setbacks Fr
Back: Right Side:
DETAILED DESCRIPTION OF WORK:
INSTALL NEW METAL ROOF, TEAR OFF EXISTING
�u� Mrs 9�1'1� ki G
Left Side:
Lot No.10
Block No. 57
CONSTRUCTION INFORMATION: III
HVAC
Gas Tank
❑Gas
Piping
UShutters
❑
Windows/Doors
Electric
El
Plumbing
[]Sprinklers
0 Generator
R1
Roof
6/12
Roof pitch
Total Sq. Ft of Construction: 1010
Cost of Construction: $ 11,100
Sq �Ft. of First Floor:
Utilities: Ft
ZSeptic Building Height: 1-story
OWNER/LESSEE:
CONTRACTOR:
Name Marcia&Segundo Mulet
Name: LUIS QUINONES
Address:595 SE AIROSO BLVD>
Company: Rhino Roofs & General Construction Corp.
City: PORT ST LUCIE State:FL
Zip Code: 94983 Fax:
Phone No.
Address: 865 S KINGS HWY
City: Fort Pierce State: FL
Zip Code: 94945 Fax:
Phone No. 772-446-1139
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
X Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Ad dress:865 S KINGS HM
Address:
City:
City:
Zip: Phone:
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conxlict 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.
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin work or recordin our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF LUC E
STATE OF FLORIDA�
COUNTY OF
The forgoing instrument was acknowledged before me
this:)';;), day of b-e-C 20�J by
The forgoing instrutrient was acknowledge before me
this day of _ : by
Luis !�?urA)oNE s
%vls k7loouas
Name of person making statement
Personally Known 7< OR Produced Identification
Name of pers n making statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(
6Q
�Qk
tsigVature of Notary Public -State of Florida
(Signature of Notary
Notary Publle State of Florida
Commission No Desiree pyp(t
My Compaelorf OG 240080
orw Expires 0712212022
Commission No s I1
Nota PtJ9tata of Florida
;P Dealree Flexen
My Commission 00 240B00
ExoIros 07122YS022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17