HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FQ� St Lucie roounN
I UTION TO BE ACCEPTED
Date: 01/15/2016 Permit Number: &,Q k C:LV.
RECEIVED
Planning and Development Services irmit Application 4AN 2.8 2016
'Of - TAr -1. -:.
Building and Code Regulation Division� ,bgvz
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial —_-:__�Re"Slden�tiai
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION,-,["
Address: 485 Bridlewood Way, Fort Pierce, FL
Legal Description: All of lot 2, Block E, Dorian Subd I ivision, According to the plat thereof as recorded in plat book 9, Page
22 of the public records of Saint Lucie County, Flonclip
Property.Tax ID #: 2310-801-00,TOOO-2 Lot No. 2
Site Plan Name: Dorian Block No. E
Project Name: Ray Residence Demo/Rebuild
Setbacks Front 25 Back: 15 J
Right Side: 10� Left Side: 10
DETAILED ESCRIPTION OF WOR
Demolition of the existing structur6i and_,re ilding-an&W�G,250.'� �Jbedroom, 2 bath CBS home.
CONSTRUCTIGININFORMATION:
--b- -FFo p Y:
Additional work to eDe (rmed underthisper It—C ec a ap E
W1HVAC E1,Gas Tank []Gas Piping Shutters Windows/Doors
ZElectric Plumbing S� p r ers; FIGenerator Roof
Tota I Sq. Ft of Construction: 1,387 S Ft of First Floor: 1,250 3_5 7
12
Cost of Construction: $ 121 , 660.00 Utilitiesli SewerFv heptic Building Height:
OWN"ER/LESSEE:
C.ONtRACTO R:'-
Name Ralph Ray
Address: 485 Bridlewood Way
City: Fort Pierce Staie:
Zip Code: 34945 Fax:
Phone No. (772) 828-0454
E-Mail: smray85@gmail.com
FL
Name: Lionel J. Dunbar
Company: BSE Construction Group, LLC;
Address: 535 NW Mercantile, Place, Unit 107
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: (772) 344-8/203
Phone No. - (772) 344-8201
E-Mail: [dunbar@bsefl.com
Fill in fee simple Title Holder on next page if different
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:
DESIGN ER/ENGI NEER:
x Not Appl cable
MORTGAGE COMPANY: x NotApplicable
Name: RobertF.Sonberg
Name:
Address: 113 BentTree Drive
Address:
City: Palm Beach Gardens
St te: FL
City: State:
Zip: 33418 Phone: (561)460-5635
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
L
x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
4
Zip: Phone:
. g J4, "717 _
f T-�
I certify that no work or instalfatio—n-has-com
-_2mencec
St. Lucie County makes no representation that is gr4
which is in conflict with anyl5pplicable Home Owner
structure. Please consult with.y9ur Home Owners,As
In consideration of the granting of this' requested p6
in accordance with the approved plans, the Florida 0
The following building permit applications are exeml
accessory structures, swimming pools, fences, walls,
prior to thd-isis' uance oT,a-permit.
ting a Permit will S6ih6riZe the ermit holder to build the subject structure
Association rules, bylaWs'or an9covenants that may restrict or prohibit such
ociati6n and review Vou,r-de, ed for any restrictions which may apply.
-nit, I do hereby'agree-that. I` will, in all respects, perform the work
iilding Codes and St� Lucie Cbu'nty Amendments.
L from uhdergging a full concuPrency review: room additions,
;igns, screen room-�nc!0 c`Ce�sory�'6ses to another non-residential use
WARNING TO OWNER: Your failure to Recorc 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 c btain financing, consult with lender or an attorney before
commencing work or recording Vour Notice of Commencement.
" Signature of Cbdner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF SaintLucie
The f Orr ing instrument was acknowledged before
this 15 day of fa--ary 20 _16 by
Ralph Ray -I- I
(Name of person acknowledging)
e_�L . qx. I
(s1ignature of NotaryKubjic- State of Florida
Personally Known x OR Produced Identifica
Type of Identification Produced
Commission No. — EE177496 (Sea])
KRISTINA
S
Signaturfof Coqtractor/License Holder
STATE OF FLORIDA
COUNTY OF,9aintLucie
The forgoing instrument was acknowledged before me
this 161' day of anuary , 20 16 by
Lionel J. Dunbar
(Name of person acknowledging)
t/t� 0
(_U7" & —
(Qnat�re of Notary lic- State of Florida
Personally K ... .... (� OR Produced Identification
Type of identification Produced
Commission No. EE177496
(Seal)
KRISTINA 9UZMP-TH DAVIS
MY COMMISSION# EE17MOs --c MY UUMMI,5�5111JN fFhh1f14Uti
EXPIRES March 08, 2011
Revised 07/15/ EXPIRES March 013, 2 16
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40�) 398 1
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