HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� / r�
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- -- - Building Permit Application St. Lucie County
Planning and Development Services
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-Building and Code Regulation -Division
2300 Virginia Avenue, Fort Pierce FL 34982 q,ern�m�uttq�ttrRg{8
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Reside`MtI4!W1'°"W
PERMIT APPLICATION FOR: Building
`PROPOSED IMPROVEMENT LOCATION:
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 Reconstruction
Setbacks Front Back: Right Side: Left Side:
Construction (re -build) of a new 1,000 SF 2 bedroom/2 bathroom/Single Carport CBS home for the
Saint Lucie County Housing Rehabilitation Program.
CONSTRUCTION-INFORM'ATION'k`
VVU1A w„o mu,uucu w1uc1 LIM PC]uuL —UJULN mi apply:
ZHVAI Gas Tank ❑Gas Piping _Shutters ✓QWindows/Doors
Electric ❑✓_Plumbing []Sprinklers Generator IV]Roof 5/121 Roof pitch
Total Sq. Ft of Construction: 4000- S Ft. of First Floor: +eeD oltz
Cost of Construction: $ 134,599 Utilities. Septic Building Height: 1 Story
01NNERJLESSEEr ° ' r
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CONTRACTOR
Name Jeremy Humphrey
Name: Lionel J.Dunbar
Address:150 SE Celestia Court
Company: Black Street Enterprises, LLC
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 772-626-0941
Address: 535 NW Mercantile Place, Unit 107
City; Port Saint Lucie State: FL
Zip Code: 34986 Fax: (772) 344-8203
Phone No. (772) 344-8201
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: psl@bsefl.com
State or County License: CGC1509119
IT value or constructian is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENLAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: RobenF.Sonberg
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 113 Benr Tme Drive
Address •
City: Palm Beach Gardens State: FL
Zip: 33418 Phone: (561)691-92n
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:- X Not Applicable
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 your Notice of Commencement.
S ature of Own r/Lessee/Con ractor Js Agent for caner
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The r ing instru t was! knowledged before me The f ing instru t was knowledged before me
this day of 20 19 by this lday of �, 20 19 by
(Named person acknno�Lowl
(.�"
(SidnatuiL of Notary Public- State of Florida I
Personally Known x
Type of Identificatif
Commission No.
Revised 07/15/2014
OR Produced Identification
MY COMMI N # FF960833
EXPIRES March 08. 2020
Lionel J. Dunbar
(Name of er9on acknowle ing')
Z g IU4W�
(Sigiaturg of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identifica ' `dcee�KRISTINA E DAVIS DAbI�
Commission No. • : MY COMMISSI(fMall'F9608
"•.; EXPIRES March 08. 2020
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