HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C7 / tv' ) "/ Permit Nu e .
RECEIV
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Building Permit Applicati ' n JUL 16 2019
Planning and Development Services Pe rm i tti n
Building and Code Regulation Division 9 Department
2300 Virginia Avenue,Fort Pierce FL 34982 St. LLICI OUnty, .FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION
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Address: 191 SW EI Sito Court, Port Saint Lucie, FL 3483
Legal Description: RIVER PARK-UNIT'5 BLK 52 LOT 13(MAP 34/28S)(OR 1299-1964).
Property Tax ID#: 3419-540-0304-000-5 Lot No.13
Site Plan Name: Block No. 52
Project Name: St. Lucie County Housing Rehabilitation Program-Patterson Residence Demolition
Setbacks Front Back: Right Side: Left Side:
DFTION
ETAIL I EDE DES�CRI� OF WORK �,
..
Demolition of the existing structure
)-i) n v 4-+CX e M-7 0 lP 0 Co 7 .
CONSTRllCTlO EORMATIO.Nrr�� �r
Additionalwork toe e orme under this permit—check a appy:
❑HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing []Sprinklers ❑Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction: 1699 S . Ft.of First Floor: 1699
Cost of Construction:$ 6,972.00 Utilities: 2Sewer❑Septic Building Height: 1 Story
OWNER/LESSEE xy.� � NT
xCORACTOR4
Name David M Patterson Name: Lionel J.Dunbar
Address:191 SW EI Sito 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.859-391-6358 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.
SUPPLEMENTAL CONSTRUCTION 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
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Signature of Owner/Lessee/Contractor as Agent for Owner Si nature Pf Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The f ng instr ent was acknowledged before me The f ng instrum t was acknowledged before me
this By of 20 19 by this�y of 20 19 by
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David M Patterson{` Lionel J.Dunbar
(Name o person acknowledging) (Name of person acknowledging)
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(Si atur of Notary Public-State of Florida) (Sig ture f 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. FFN(.07,311-0--53
KRIST(M)I=DAVISCommission No. FF oICRISTON9 DAVIS
MYCOMMISSION#FF960833 ; MY COMMISSION 9 FF960833
2020
• EXPIRES Mardi '2020 floridalloiaryServkx.con: (407)398-0'53 rloridalloia Service.con:
Revised 07/15/2 — — -
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4587909 OR BOOK 4290 PAGE 79, Recorded 07/01/2019 03:52:12 PM
NOTICE OF COMMENCEMENT
Permit No. Property Tax ID No. 3419-540-030"00-5
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 infnrmatinn is provided in this Nntire nr(`nmmencetnent_
i
Legal Description of property and address if available
RIVER PARK-UNIT 5 BLK 52 LOT 13(MAP 34/28S)(OR 1299-1964)
a
General description of improvements Demolition of existing structure and re-build of new 211-1/2 1,000 SF home
owner/lessee David M Patterson
@
Address 191 SW EI Slto Court,Port Saint Lucie,FL 34983
Q-
LL Interest in property: Owner
Fee Simple Title holder(if other than owner) N/A
m Address N/A
s Contractor Black Street Enterprises,LLC Phone# (772)344-8201
_ Address 535 NW Mercantile Place,Unit 107,Port Saint Lucie,FL 34986 Fax# (772)344-8203
LL Surety NIA Phone# NIA
r Address NIA Fax# wA
m
m Amount of Bond NIA
m
m Leader N/A Phone# N/A
Address N/AFax# NIA
QPersons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
LU ? by Section 713.13(a)7.,Florida Statues:
U Name ST.LUCIE COUNTY BOCC Phone# 772-462-1400
Cal
Address 2300 VIRGINIA AVE.,FORT PIERCE,FL 34982 Fax#
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U.I j ST.LUCIE COUNTY HOUSING DIVISION
C) in addition to himself;owner designates of
437 N.7TH ST.,FT.PIERCE,FL 34950Phone# 772-482-1777 Fax# 772-482-2855
Q to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
1 PAYMENTS UNDER CH.713.13,F.S.,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
+ COMMENCEMENT MUST BE RECORDED AND POSTED ONTHE JOBSTTE BEFORE THE FIRST INSPECTION.IF YOU INTEND TOOBTAIN
O
0 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
ill j COMMENCMENC.
3
Owner/Lessce.or Owner's or Lepsee's Authorized Otacer/Director/ParMer/Manager/Signature
Owner
Signatory's Title/OHIee
State of Florida,County of Saint Lucie
4Si
ckno is day of 28 19_,b Ind d P
` p rsonalty n to me who has produced as identifiKristina E.Davis
at re of Notary Type or Print Name of Notary (Seal)
Title:Notary Public Commission Number FF980833 v.� KRISTINA E DAVIS
= d ? MY COMMISSION k FF960833
EXPIRES March 08.2020
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t•Io7,»a.o•ss rloriH,NouI ervke.rnn.
Digitally signed by The Honorable Joseph E. Smith
Date: 2019.07.01 15:53:28 -04:00
VISIT HTFM//STLUCIECURR.COM/TO VALIDATE nus Documt:Q ': _,'Reason: Electronically Certified Copy
'1,ra# jLocation: 201 South Indian River Dr, Fort Pierce, FL 34950
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