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HomeMy WebLinkAbout1Building Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f� Date: Permit NumberTJ­fi=, : RECEIVED , • Building Permit Application jUN 2 9 2018 Planning and Development Services Building and Code Regulation Division P8rrnitting Department 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial R Sic§Ati�pgle County, FL PERMIT APPLICATION FOR: Demolition PROPOSED IMPROVEMENT r .�.. � �� ,LOCATION � ,.� � �� ... :_. Address: 2208 Cortez Blvd, Fort Pierce, FL 34982 Legal Description: NOT PLATTED. PART A OF BREAKDOWN OF SECTION 21, TOWNSHIP 35 SOUTH, RANGE 40 EAST, Property Tax ID#: 2421-234-0005-000-3 Lot No. Site Plan Name: Block No. Project Name: Myrtil Residence Demolition Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTI,ON QF WORK { . r .,; . Demolition of the existing structure CQN'STRU TION' I_N'FORM"ATI®N • µ ":a ¢' 3 . Y3F . _ Additional-work toe nertormed under this permit—checF all appy: HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors 11 Electric E]PlumbingSprinklers E Generator E] Roof Roof pitch Total Sq. Ft of Construction: 3,298 S Ft. of First Floor: Cost of Construction:$ 7,275.00 Utilities:]Sewer E]Septic Building Height: 1 -Story '©1NN'ER/L'ESS- v CONTRACTOR Name Marie Myrtil Name: Lionel J.Dunbar Address:2208 Cortez Blvd Company: Black Street Enterprises dba BSE Construction Group City: Fort Pierce State:FL Address: 535 NW Mercantile Place, Unit 107 Zip Code: 34982 Fax: City: Port Saint Lucie State:FL Phone No.772-940-7637 Zip Code: 34986 Fax: 772-344-8203 E-Mail:eduvens@yahoo.com Phone No. 772-344-8201 Fill in fee simple Title Holder on next page(if different E-Mail: Idunabar@bsefl.com from the Owner listed above) State or County License: CGC1509119 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. SUPPLEM'ENTALC®NtSTRIN AN�rICU ® EW INF®RMATIOIN REY' DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable N am e:Robert F.Sonberg Name: Ad d ress: 113 Bent Tree Drive Address: City: Palm Beach Gardens State: FL City: State: Zip: 33418 Phone(561)691-9277 Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address:535 NW Mercantile Place,Unit 107 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 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 recording our Notice of Commencement. J ( ture of Owner/Lessee/Contractor ilAgent for Owner Signof C ntractor/License Holder atu STATE OF FLORIDA 0 STA OF FLORID J b COUNTY OF L ( _tJ rix COUNTY OF � of If I Ek Q The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me M this�a day of � x 1 9 20 18 by M this i day of n a 20 18 by c N > N 6 N Lionel J.Dunbar Marie Myrtil O _- C Name of person making statement C! U. c a Name of person making statement W z Personally Known Y, OR Produced Identif' to k Personally Known_ OR Produced Identificatio e Type of Identification o "ll Type of Identification Produced ? N a Produced y a to z O q h W d 0 dUXs O I Yw W .,. (Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida) ;q 0 �= Commission No. FF960833 (Seal =� d=� Commission No. FF960833 (Seal) :s* REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17