HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ke.
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Building Permit A�VIQca QoMQ5
Planning and Development Services
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 at-Luciecodo
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
P I APPLICATION FOR: Building
I PRCIOCISED IM_ OROVEW'JENILO CATION':.,
Address: 191 SW El Sito Court, Port Saint Lucie, FIL 34983
Legal Description: RIVER PARK -UNIT 5 BLK 52 LOT 13 (MAP 34128S) (OR, 1299-1964)
PropertyTaxlD#: 3419-540-0304-000-5 Lot No. 13
Site Plan Name: Block No. 52
Project Name: St. Lucie County Housing Rehabilitation Program - Patterson Residence Reconstruction
Setbacks Front Back: - Right Side: Left Side:
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Construction (re -build) of a new 1,000 SF 2 bedroom/1 -1 /2 bathroom/Single Carport CBS home for the
Saint Lucie County Housing Rehabilitation Program.
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INFORMATION."�!
LY_JHVAC Gas Tank LJGas Pi
ZElectric Plumbing []Sprinl
Total Sq. Ft of Construction:-1000- I'2Jqz_
Cost of Construction: $ 134,562
Ing Ej S'hut'ters ZWindows/Doors
Us Roof pitch
11 Generator Roof
S Ft of First Floor: df)08- 16 q9
Utilities,c2 Sewer 11 Septic Building Height: 1 Story
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CONTRACTOR:,
Name David M Patterson
Name: Lionel J. Dunbar
Address: 191 SW El Sito Court
Company: Black Street Enterprises, -LLC
City: Port Saint Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 859-391-6358
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
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
[SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: RobertF.Sonberg
Address: 113BentTmeDdve
City: Palm Beach Garciens State: FL
Zip: 33418 Phone: (561)691-9277
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip:� Phone:
x NotApplicable
MORTGAGE COMPANY: x NotApplica
Name:
Address:
City: State:
Zip: _ Phone:
ble
BONDING COMPANY: x NotApplicable
Name:
Address:
City:
Zip: _PfRo—ne:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in to %ct 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
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Saint Lucie
The orgoing instru nt was nowledged before me
thistclayof. 3WK*1 20 9 by
DeAd M P.ft.=4
IN cknowled
Zi n 6L
oyd —
(Sigqatur of Notary Public- State of Florida I
Personall Known X OR Produced Identification
Type of Identificatiop-Pirad
. _ _qce&
Commission No. FFJ4QA33RJ
E M COMN(M%i?N # FF960833
�eeO EXPIRES March 08. 2020
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF -Saint Lucie
The forgoing instrlenitwasA$cknowledged before me
this It- day of U.,U 20 19 by
Lionel J. Dunbar
IN f acknowledging I,
Z - �z kova'
(Sig I aturfle of Notary Public- State of Florida )
Known x OR Produced Identification
Type of
Commission No - MY COMMISSIO(S&fiT960833
1 azn'SR EXPIRES March 08.2020
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