HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUSTBECOMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / .A�• I% Permit NumbFP7ermitting'Department
EIVED
Building Permit ApplicationL 16 2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resl
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENTN��
Address: 150 SE Celestia Court, Port Saint Lucie, FL 34983
Legal Description: RIVER PARK-UNIT 5 BLK 46 LOT 7(MAP 34/28N)(OR 3890-1479; 3894-1284)
Property Tax ID#: 3419-540-0111-000-5 Lot No.7
Site Plan Name: Block No. 46
Project Name: St. Lucie County Housing Rehabilitation Program Humphrey Residence Demolition
Setbacks Front Back: Right Side: Left Side:
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Demolition of the existing structure
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Additional work to e e orme under this permit—check a In.appy:
❑HVAC 0 Gas Tank ❑Gas Piping Shutters Windows/Doors
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11 Electric 0 Plumbing Sprinklers El Generator E] Roof Roof pitch
Total Sq. Ft of Construction: 1449 SFt.of First Floor: 1449
Cost of Construction:$ 5,796.00 Utilities:Lr J Sewer[]Septic Building Height: 1 Story
OWN4ER/LESSEE >a �x•� F a'� #k$ , 'CONTRACTO=R r t
w:Jnna-r4 lYe, ,a& .,.�StS. :Ts,?.Ri .�u3.r7tiw.a --ire .'w rx a -`m is:.. •.
Name Jeremy Humphrey Name: Lionel J.Dunbar
Address:150 SE Celestia Court Company: Black Street Enterprises, LLC
City: Port Saint Lucie State:FL Address: 535 NW Mercantile Place; Unit 107
Zip Code: 34983 Fax: City: Port Saint Lucie State:FL
Phone No.772-626-0941 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:.CGC1509119
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL'CONSTRUCTLON LIEN LAW INFORMATION:`
DESIGNER/ENGINEER: x—Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: RobertF.sonberg Name:
Address: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: 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 recording our Notice of Commencement.
s
4Sature of 0 er/Lessee/Contractor A Agent for Owner Sigfiature 4 Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The## ing instru ent as acknowledged before me The fkay
ng instrum t was acknowledged before me
thisMay of 20 19 by this f of 20 19 by
ly
Jeremy Humphre� Lionel J.Dunbar
a(Name person acknowledging) (Name of erson acknowledging)
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(S'natu a of Notary Public-State of Florida) (Siglaturd of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x RR Prnri
Type of Identification Produ a of Identificatio P fg h li NA E DAVIS
:r�••�o, KR .�o.
;i'•' '•� MY COMMISSION#FF960833
Commission No. FF960833 p,ISWMMISSION#FF960 mmission No. FJ
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�. _���;,4 EXPIRES'l�1 06.2020
off' EXPIRES March 08,202
107398-0'S3 fbrdallo,a• Service.con
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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Electronically Certified Official Record
I HEREBY ATTEST THAT THIS CERTIFIED DOCUMENT IS A TRUE AND CORRECT COPY OF
AN OFFICIAL RECORD,OF ST. LUCIE COUNTY.
BY: ELECTRONIC SIGNATURE
DATE: 7/1/2019 3:53:28 PM
Agency Name: Clerk of the Circuit Court, St. Lucie County, Florida
Clerk of the Circuit Court: The Honorable Joseph E. Smith
Date Issued: 7/1/2019 3:53:27 PM
Unique Reference Number: BAA-CABJCEABCAEABG-BCBBB-1EFIHJBA11-
BCIJG-D
Instrument Number: 4587910
Requesting Party Code: 20192401204016
Requesting Party Reference: LDUNBAR@BSEFL.COM
HOW TO VERIFY THIS DOCUMENT:
This electronically certified Official Record contains a unique electronic reference number for
identification printed on each page. This document is delivered in PDF format and contains a digital
signature identifying the certifier and a tamper proof seal indicating whether this document has been
tampered with. The second page of this document contains a digital signature indicating the certifier
as the St. Lucie County Clerk of the Circuit Court. Open this document using Adobe Reader software
to verify the digital signature of the author.Visit https://Verify.Clerkecertify.com/Verifylmage to learn
more about validating this certified copy.
o .. o
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4587910 OR BOOK 4290 PAGE 80, Recorded 07/01/2019 03:52:12 PM
t NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. .3419-540-0111-000-5
State of Florida,County of St.Lucie
The Undersigned hereby gives notice that improvement will be made to certain real property,and In accordance with
Chapter 713,Florida Statutes,the following information Is provided In.this Notice of Commencement.
Legal Descriptionofproperty and address if available
o RIVER PARK-UNIT 5 BILK 46 LOT 7(MAP 34/28N)(OR 3890-1479;..3894-1284)
General description:of improvements Demolition of existing,structure and re-build of new 2121',000 SF haute
W
a Owner/lessee Jeremy Humphrey
Address 150 SE Celestia Court,Port Saint Lurie.FL 34983
U Interest in property: Owner -
U Fee Simple Titleholder(if other than owner) NIA
m Address NIA
Q Contractor Black Street Enterprises,LLC Phone# (772)34.4,-8201
Address 535 NW Mercantile Piece,Unit 107,Port Saint Lucie,FL 34986 Fax# (772
)344-8203
Surety WA _ Phone#NIA
W
Address N/A Fax# NIA
m Amount of Bond WA'
M
U Lender WA Phone# NIA
(� Address NIA Fax# NIA
Qm Persons within the State of Florida designated by Owner upoawhom notices or other documents may be served as provided.
LLl by Section 713.13(a)7.,Florida Statues:
VName ST.LUCIE COUNTY BOCC Phone# 772-462-1400
Address 2300 VIRGINIA AVE.,FORT PIERCE,FL 34982 Fax#
U ST.LUCIE COUNTY DOUSING DIVISION
In addition to himself,owner designates of
m
437 N.7TH ST.,FT.PIERCE,FL 34950 Phone# x'4621777 Fax# 772.462-2865
(aj to receive a copy of the Lienor's Notice as provided In Section 713.13{1)(b),Florida Statutes. Expiration date of notice of
Q commencement is one year from the date of recording unless a different date is specified. WARNING.TO OWNER:
M ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13,F.S.,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF
N COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.ff YOU INTEND TOOBTAIN
O FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
U
� COMMENCMENT. CJD
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� erRaue,'or r's or[Aufts Astber4d Omar orlPrartMr/Maarager/Sigoatox
Owner
Signatory's Titid011lce
State of Florida,County of Saint L cie
f7r"ke:NotarN
eetmeth ,day of 20 19,by ft
lly to a or o-bas produced' as entif tion.
A yi Kris" a E Davis
otary Type or Print Name of Notary (Seal)
ublic Commission Number FF960833
p:•�ti KRISTIMAL E DAVIS
MY COMMISSION#FF960833 I
EXPIRES March 08,2070
t.ror�assa•m rb�narwN ..,,�.��,
Digitally signed by The Honorable Joseph E. Smith
Date: 2019.07.01 15:53:29 -04:00
VW imrs//Snuoca.MK.wn/TO vAUDAn ma naveorr Reason: Electronically Certified Copy
Location: 201 South Indian River Dr, Fort Pierce, FL 34950
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