HomeMy WebLinkAboutBuilding Permit A.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: j L' Permit Number: v�-
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Building Permit Application MAY 17 2017
Planning and Development Services PERV.41TTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential RS-4
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address: 230 S.E.CAMINO STREET
Legal Description: RIVER PARK UNIT 3-BLK 28 LOT 39
Property Tax ID#: 3419-515-0228-000-0 Lot No.39
Site Plan Name: Block No. 28
Project Name: 230 CAMINO
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WO.RK ?4`i` rr
��' ': .a ...,, ;•,.. 'tip, :.
GARAGE CONVERSION -AFTER THE FACT
CONSTRUCTION INF.ORMi4TI0N ' d
itiona wor to e r forme under this permit—Check all apply:
RJHVAC1:1 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: 1470 S . Ft.of First Floor: 1714
Cost of Construction:$ 13783.90 Utilities:z Sewer E]Septic Building Height: 12'
OVIlN ER/LESSEE CONTRA
Name ELINISIM Name: DANIELACE11ED0
Address:249 S. Federal Hwy Company: ALL CONSTRUCTION SYSTEMS
City: Dania Beach State:Fl. Address: 845 VANDA TERR
Zip Code: 33004 Fax: City: WESTON State:FL
Phone No.305 319 2499 Zip Code: 33327 Fax:
E-Mail:ronen@yakutllc.com Phone No. 954 663 2078
Fill in fee simple Title Holder on next page(if different E-Mail: D�Lq//c�o►,s�,�cionsy_
from the Owner listed above) State or County License: CGC 150 60716W14--e"v
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:• Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: 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 o n attorney bef
commencio&work of rieciprding our Notice of Commencement.
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Sibature of Owner/Lessee/ Signature of Co 4--mi-IL—H—eme 1 laide,
STATE OF FLORIDA &r 0 VVO STA F FLORIDA
COUNTY OF rd TY 0
C NTY OF BROWARD
The�qgoing instru e t as cknowledgeq-4by this "fore me The forgoing instrument was acknowledged before me
this J_D day of 20 9
_W day of "Ay 20 17 by
o n a lio7n n DANIELACEVEDO
(Name of person acknowledging) (Name of person,
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14 e 4t!! 0 FF940144
(Signature of Notary Public-S eofFlorida) (Signature of M%Wbl!XXJM WR_)D0wft421.2019
Personally Known \1/ ORPr2#pA;e'dIdentt1g .53— /FWndA9U"3Vvk@.cw,
Personally Known.l.-Neo�—OR Produced Identification
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Type of Identification Produced_E--.'-".'- Cam leN#FF e67912 Type of Identification�>6uced
XR ES:November 3,2017
Commission Noffl 711 Commission No. (Seal)
i Thru Budget Notary Services
OF FY
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REY4EW � REVIEW REVIEW REVIEW
DATE 91
COMPLETE
INITIALS