HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r I
Date: 05/10/2016 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
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 406 N 40th Street, Fort Pierce, FL 34947
Legal Description: CLYDESDALE HEIGHTS BLK 1 LOT 8 AND N 20 FT OF LOT 9(CASE NO 74-195 CA)(0.22 AC)
(OR 694-6123)
Property Tax ID#: 2408-602-0009-000-9 Lot No. 8
Site Plan Name: Block No. 1
Project Name: Lurry Residence Demolition
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Demolitiori of the existing structure CBS home.
[CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E] Gas Tank 0Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor: 1,200
Cost of Construction:$ 5,000 Utilities:In Sewer ZSeptic Building Height: 12
OWN ERAESSE'E: CONTRACTOR:
Name Howard and Betty Lurry Name: Lionel J.Dunbar
Address:406 N 40th Street Company: BSE Construction Group, LLC
City: Fort Pierce State:FL Address: 535 NW Mercantile, Place, Unit 107
Zip Code: 34947 Fax: City: Port Saint Lucie State-FL
Phone No.(772)801-3345 Zip Code: 34986 Fax: (772)344-8/203
E-Mail: 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: Name:
Address: Address:
City: State: City: State:
Zip: Phone: 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
_Signature of Ow er/Lessee/Age Signat re of C ntractor/License Holder
STATE OF FLORIDA STA E OF FLORIDA
COUNTY OF Saint Lucie COUNTY OF SaintLucie
The forgoing instrument was acknowledged before The forgoing instrument was acknowledged before me
me this 10th day of May 20 16 by this 10th day of May 20 16 by
Howard Lurry 1 Lionel J.Dunbar
(Name of person acknowledging) (Name of person acknowledging)
I L "al A,d "g 4�v�
(Si at re of Notary Public-State of Florida) (Sig at re 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. FF960833 Seal Commission No. FF960833 (Seal)
KRISTINA E DAVIS ' ' KRISTINA E DAVID
my COMMISWR
Revised 07/15/201 EXPIRES M&-.h 08.2020 EXPIRES MKch 06,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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