HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONQ-
AB APPLICABLE INFO MOST BE COMPLETED FOR APPLICATION TO -BE ACCEPTED
Date: 4/18i19 Oermit Number: aU
RFCFrvFo SCANNED
4P,Q 19 ?019 BY
-- ----_ _ - Building Permits ,kq#dn St. Lucie County
Planning and Development services e county enr
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
PROPOSED IMPROVEMENT LOCATION:
Address: 5304 San Diego Ave Fort'Pierce FL 34946.
Property Tax ID #: 1431-702-0021-010-8 Lot No.18
Site Plan Name: Block No. A W
Project Name:
DETAILED DESCR1PTaON 0F`WORK:
TEAR OFF EXISTING ROOF
INSTALL NEW ROOF — M 1r1)nL.
CONSTRUCTION:INFORMATION.
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator X Roof 6/12 Pitch
Total Sq..Ft of Construction: /8 Sq.,Ft. of First Floor:
,Cost DfConstnuctione$13,9D0 'Utilities: _Sewer _Septic :',Building Height:J'STO�'
OWNER/LESSEE:
CONTRACTOR:
Name:LUISQUINONES
Nam.. -I�-PKc_TN :4:
iJ
Address:5304 San Diego Ave
Company: Rhino Roofs & General Construction Corp.
City: Fort Pierce State:fL
Acldress:865 S KINGS HWY
City; Fort Pierce. State: FL
Zip Code: 34946 Fax:
Phone No.
Zip Code: 34945 Fax:
E-Mail:
Phone N0772-446-1139
Fill in fee simple Title Holder on next page ( if different
E-Mail info@roofsbyrhino.com
State or County License CCC1 331472
from the Owner listed above)
'If -value of:oonstruction Is$2500 ormore,a RECORDED Notice of fommencement.is required.
•;If value,o4*11AL:+s 0,500:or more, a; RECORDED'Notice.of Commenceinentjsrequireii.
j SUPPLEMENTAL CONSTRUCTION. LIEN LAW INFORMATION:
ivot Hppiicaoie I MORTGAGE COMPANY: _ Not Applicable
Address: I Address:
City: State: I City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not -Applicable
Name: -
Address: I 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 cornmence&pr'ror to the issuance'•of a pemiit:
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 thatmay 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 :FAMURE' II)VECORD;dI NOTICE OF-C.OMMEK-EMENi MAY.:RiESU,LT_IW'YQUR PAMG
TW1GE'FOR'AHP.ROVEMFJNTS TO YOUR PROPERTY.'A-"NOTICE OF-COMMENCEMENT'MUST'BE-RECORQED:AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. EF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner as Agent for Owner
Signature of Contractr e10
o nse er
1 'or
OF FLORIDA ST W G[ E
-STATE OFFCOUNTY
� D S Ci[�
COUNTY OFSTATE
O I
The forgoing linstrurgent was acknowledged before me
The f r oing instrument wa acknowledged before me
this � day of r 20Jg by
this day of Y, 20J`�by
bul5 (2U1tj.I
I.)IS Q0)AJbA/E.S
Name of person making statement.
Name of person making statement.
<PersonafyAnown.� ORProducedIdentification
` •P,ersonally.KnawnOR Produced Identification'
Type of.Vdentifiication
Type of Identification
Produced
&W W-
Produced
Atp
(Sig ature of Notary Public -State of Florida
(Sign re of Notary Pub tc-St to of Florida )
Commission NO Notary Pp�(� oof Florida
D891reeFfet9n
.C6RI.rn15910n-N0: .
Notary P[l��ete ar FbAda
My Commiwlon GO 2406M
? Desiree Flexen
Commission GO 240888
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FR
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SUPERVISOR
REVIEWS
PLANS
VEGETATICIZ
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED s
s
s
Aev: 2/7/19