HomeMy WebLinkAboutBUILDING PERMIT APLLICATIONSALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED !- Date: March 14, 2016 SCANNED Permit Number: / 03 s o zU
BY St. Lucie County RECEIVE
Building Permit Application MAR 2 4 2016
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 Residential X
PERMIT APPLICATION FOR: Renovation
PROPOSED IMPROVEMENT LOCATION:
Address: 10786 Grey Heron Court, Port Saint Lucie, FL 34986
Legal Description: Reserve Plantation; Phase IIA, Lot 78 (Map 33128N) (OR 3608-1938)
PropertyTax ID #: 3321-803-0082-000-8
Site Plan Name: Not Applicable
Proiect Name: Don Miranda residence remodel and renovation
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No. 78
Block No.
Kitchen and family room extension to include but not limited to site work, concrete, masonry, ext.
framing plumbing, electric, HVAC, windows, ext doors, insulation, int. framing, stucco, finish trim,
cabinets, flooring, painting. Please see drawings.
Additional work to be ertormed under this permit — check all t a apply:
HVAC' Ei Gas Tank E]Gas Piping _ Shutters Q Windows/Doors
❑✓I Electric [z Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 1,889 SIn
of First Floor: 3,619
Cost of Construction: $ 50,000 Utilities:_Sewer Septic Building Height: 12'
OWNERAIESS- EE:
CONTRACTOR:
Name Don Miranda
Name: Lionel J. Dunbar
Address: 10786 Grey Heron Court
Company: Black Street Enterprises, LLC dba BSE Construction Group
Address: 535 NW Mercantile Place, Unit 107
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: (772) 871-0863
Phone No. (772) 370-0749
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax: (772) 344-8203
Phone No. (772) 344-8201
E-Mail: dmiranda@mirandacompanies.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: Ldunbar@bsefl.com
State or County License: CGC 1509119
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
x Not Applicable
Name: Raul R. Valella
Address: 138 SE Naranja Avenue
City: Port Saint Lucie State: FL
Zip: 34983 Phone: (772)871-2457
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
CO U NTY OF Saint Lucie
The forgoing instrument was acknowledged before me
this day of , 20 by
Don Miranda 1
s
Signat a of Cot actor/License Holder_
STATE OF FLORIDA
COUNTY OF Saint Lucie
The f'o' f-going instrument was acknowledged before me
this)- day of 20 1& by
Lionel J. Dunbar
(Name of person acknowledging) (Name o person acknowledging)
(Signature of Notary Public- State of Florida) (Sig u e of 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.
Revised 07/15/2014
,(Seal)
Commission No.
KRISTINA E
EXPIRES March 08.
REVIEWS
FRONT
'ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: Raul R. Valella
Address: 138 SE Naranja Avenue
City: Port Saint Lucie State: FL
Zip: 34983 Phone: (772)871-2457
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
x Not Applicable
tate:
x Not Applicable
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 vour Notice of Commencement.
_ Sig ture of Owner/ Lessee/Agent Signat a of Cot actor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
CO U NTY OF salt Lucie CO U NTY OF Saint Lucie
The for oing instrumelit was acknowledged before me
this day of QlL(:I�C 20 &by
1 hwa_T S
(Name of person acknowledging)
ew". P. koLya
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. �?100 043 (Seal)
The feo' ig�oing instrument was acknowledged before me
this � day of %KA1 .20 1& by
Lionel J. Dunbar
(Name o person acknowledging)
(Sig u e of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014 MY COMMISSION N FF9M33
p. EXPIRES March 08.2020
KRI$TINA E
EXPIRES March 08,
REVIEWS
t t
FRONT
COUNTER
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PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
ZONING
REVIEW
SUPERVISOR
REVIEW
DATE
COMPLETE
INITIALS