HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( I _'1Q�)
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Date: 01/15/2016 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
j Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 485 Bridlewood Way, Fort Pierce, FL
Legal Description: All of lot 2, Block E, Dorian Subdivision,According to the plat thereof as recorded in plat book 9, Page
22 of the public records of Saint Lucie County, Florida
Property Tax ID#: 2310-801-0000-2 _ g�2
Site Plan Name: Dorian Block No. E
Project Name: Ray Residence Demolition/Rebuild
Setbacks Front 25 Back: 15 Right Side: 10 Left Side: 10
I.DETAILED.DESCRIPTION QF WORK:
Demolition of the existing structur 1,250 SF 3 bedroom, 2 bath CBS home.
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check a appy:
HVAC Ei Gas Tank El Gas Piping ri Shutters Q Windows/Doors
ZElectric 0 Plumbing Sprinklers E]Generator W1 Roof
Total Sq. Ft of Construction: 1,387 SFt.of First Floor: 1,250
Cost of Construction:$ Utilities:lnSewer V Septic Building Height: 12
OWNER/LESSEE: CONTRACTOR:
Name Ralph Ray Name: Lionel J.Dunbar
Address:485 Bridlewood Way Company: BSE Construction Group, LLC
City: Fort Pierce State:FL Address: 535 NW Mercantile, Place, Unit 107
Zip Code: 34945 Fax: City: Port Saint Lucie State.FL
Phone No.(772)828-0454 Zip Code: 34986 Fax: (772)344-8/203
E-Mail:smray85@gmail.com Phone No. (772)344-8201
Fill in fee simple Title Holder on next page(if different E-Mail: Idunbar@bsefl.com
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;
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: RobertF.Sonberg Name:
Address:113 Bent Tree Drive Address:
City: Palm Beach Gardens State: FL City: State:
Zip: 33418 Phone: (561)460-5635 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: 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 our Notice of Commencement.
` s
ignature of Owner/ essp eAgent Signa re of C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF Saint Lucie
The for
instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 15th day of January 20 -16—by this 15th day of January 20 16 by
Ralph Ray 1 Lionel J.Dunbar
(Name of person acknowledging) (Name of person acknowledging)
(Sig at re of Notary P c-State of Florida) (Sign'aturelof Notary pe),
I c-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. EE177496 (Seal) Commission No. EE177496 (Seal)
#-;•,► y KRISTINA ELIZABEi'H DAMS a ,`'�yPJ4G•,, KRISTINA ELIZABETH DAVIS
MY COMMISSION#EE177496 z°; �''s MY COMMISSION#EE177496
Revised 07/15/201=: X11 EXPIRES March 08,2016 °•, �,� EXPIRES March 08,2016
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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