HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 01/1Date: 04/11/2018 Permit Number: ��
Building Permit Application ,,
Planning and Development Services 6 C
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential XX `�k%
PERMIT APPLICATION FOR: Renovation
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Address: 2701 Langston Drive, Fort Pierce, FL 34946
Legal Description. SHERATON PLAZA-UNIT THREE REPLATLOT 196(OR 201-2180:3572-1433)
Property Tax ID#: 1432-806-0064-000-0 Lot No.196
Site Plan Name: Block No.
Project Name: St. Lucie County HLMP-Payne Residence Renovation
Setbacks Front Back: Right Side: Left Side:
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❑_HVAC �Gas Tank Gas Pi in �_Shutters � Windows Doors
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Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 1,508 S . Ft.of First Floor: 1,508
Cost of Construction:$ 25,748.00 Utilities:In Sewer Septic Building Height: 1 story
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Name Carolyn Payne Name: Lionel J.Dunbar
Address:2701 Langston Drive Company: Black Street Enterprises, LLC
City: Fort Pierce State:FL Address: 535 NW Mercantile Place, Unit 107
Zip Code: 34946 Fax: City: Port Saint Lucie State:FL
Phone No.(772)801-5685 Zip Code: 34986 Fax: (772)344-8203
E-Mail: Phone No. (772)344-8201
Fill in fee simple Title Holder on next page(if different E-Mail: psl@bsefl.com
from the Owner listed above) State or County License: CGC 1509119
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x Not Applicable R MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: Stater City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x-Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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.
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
commencing work or recordLing your Notice of Commencement.
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Signature of Owner/Ldssee/Contractor4 Agent for Owner Signa re of Co tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 10 day of April . 20 18 by this 10 day of April 20 18 by
Carolyn Pane Lionel J. Dunbar
(Namf person acknowledging) (Name of person acknowledging)
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%,#ignathre of Notary Public-State of Florida ) (Si natu a of Notary Public-State of Florida)
Personally Known X OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF96C Commission No. FF960833 Seal
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MY COMMISSION#FFWM3 '+t'"''Isj KRI.SYINA E DAMS
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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