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Home My WebLink AboutBUILDING PERMIT APPLICATIONI ALL, APO.LICABLE INF MUST BE;COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: RECEIVED SEP 14 2018 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ST. Lucie County, Permitting Residential X PERMIT APPLICATION FOR: Building _ g V 9�,' s ANAIan Address: 2208 Cortez Boulevard Legal Description: N 165' OF THE S 180' OF THE E 144.76' OF THE W 1/2 OF THE E 1/2 OF THE SW 1/4 OF THE NW 1/4 OF SECTION 21 TOWNSHIP 35 S RANGE 40 E AS SHOWN ON CORSO COURTS SUBDIVISION AS PER PLAT BOOK 12 Property Tax ID #: 2421-234-0005-000-3 Lot No. Site�Plan Name: Block No. Project Name: Myrtil Residence Demolition & Re -Build Setbacks Front" ack• ��R g Side. • - Left ide:AISLf _tQ Construction (re -build) of a new 1,100 SF 2 bedroom/2 bathroom CBS home for the Saint Lucie County Housing Rehabilitation Program. QWindows/Doors W1 Roof 5/12 Total Sq. Ft of Construction:'��5 S . Ft. of First Floor: Cost of Construction: $-U9 ��, FVK • )� Utilities. —Sewer wSeptic Building Height: 1-story ;OWNER/LESSEES 5ygy; , C®NTRAC�T®R'.r iltt"�s #tyx. Name Marie Myrtil Name: LIbTA(5L T Address: 220s Cortez Blvd Company: Black'Street Enterprises, LLC 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 E- ail: psl@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. SUPPL71LEMENTAL CONSTRUCTION LIEN INF w ORMATI(®Nr�y* ��, `�7�k; SLAW y ,� A}b..'� �1 /� '.A �n h�.oxr��iie.��etb..tie. MORTGAGE COMPANY: _X_ Not Applicable DESIGNER/ENGINEER: x Not Applicable Name: Robert Songberg Name: LionelJ. Dunbar Address: City: State: Address: 113 Bent Tree Drive City: Palm Beach Gardens State: FL Zipl: 33418 P h o n e (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: 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 your Notice of Commencement. ignature of Owner/ Lessee/Contractor s Agent for Owner Signatur of Con a for/License Holder STATE OF FLORIDA STAT OF FLORIDA saint Lucie COUNTY OF saint Lucie COUNTY OF The fo Ing instru e t vas knowledged before me The fo Ing instru n as a kno ledged before me this ay of 20 18 by this tday of 2018 by Marie Myrtil Lionel J. Dunbar Name of person making statement Name of person making statement Personally Known X OR Produced Identification Personally Known X OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary Pu�bllic- State of Florida) (Signature of No ar ; � Ic- St Aa# DAVIS Commission No. FF9 6 ' KRI�Tpji� E DAVIS Commission No. MY COMMISSIOOrNN #aa�F9S0833 Y COMMISSION # FF960833 .•' • �1 EXPIRES Mahc�9. 2020 89t1 EXPIRES March 08, 2020 407 il'0a rwrkk,Map 6®rvice•COt` REVIEWS FRONT PLANS VEGETATION SEA TURTLE MANGROVE ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED tev.8/2/17