HomeMy WebLinkAboutBuilding Permit Applicationr'
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: Permit Number: 1910-0660
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 I7esiden ,ia) X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION f
Address: 110 BANYAN DRIVE
Legal Description: RIVER PARK UNIT 3 TRACT E BLK 135 LOT 3 (MAP 34/22S or 3869-97)
PropertyTax ID #: 3419-520-0004-000-B
Site Plan Name:
Project Name: 110 BANYAN LEGALIZATION
Setbacks . Front Back: Right Side:
DETAILED DESCRIPTION OF.WORK. ,.
Left Side:
Lot No. 3
Block No. 135
AFTER THE FACT - ROTTEN WOOD SIDDING REPLACEMENT- J' foR WAW5.
I CONSTRUCTION INFORMATION
_ .,r. _ -A- t ie nnrmit — r ur t nt nnn v
11HVAC Li Gas Tank
11 Electric 1:1 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1500.00
❑Gas Piping H Shutters Q Windows/Doors
Sprinklers 11 Generator [I Roof Roof pitch
S . Ft. of First Floor: 2197.00
Utilities: ,Sewer Septic Building Height: 13'
OWNER/LESSEE:
CONTRACTOR:
NameYAKUT PROPERTIES LLC./ AD MAOR
Name: DANIEL ACEVEDO
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@yakutlic.com
Phone No. 954,663 2078 r
Fill in fee simple Title Holder on next page ( if different
E-Mail: dnlaliconstructionsystems@gmail.com
from the Owner listed above)
State or County License: CGC 150 6071
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Is
S[1PPLEMENTALCONSTRUCTION LIEN LAW INF,OIiMiaTION
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 Iende7 an attorney re
commencinR work or recording our Notice of Commencement.
�a��s
Signature o
Signature of Owner/Lessee/C ntractor as Agent for Owner
STATE OF
41
]�(�®I/(%/)J Fd—
OUNTYOFORIDA
OA NTYOFORIDA
IJl Y V V
The acknowledged
fqqoing instru t as a know dge before me
The forgoing instrument was acknowledged before me
02 October 20 17
this day of 20
this day of . by
kmpfi ffay)a
DANIEL ACEVEDO
(Name of person a know ledging)
(Name of person ac nowled i
Al liERTO/fARIDONA
MOSOON p FF940144
ate of ida)
(Signature of Notary Pn',P
(Signature of Not rX. iF, e la
can
Personally Knownr d Identification
Personally Known OR Prod ed Identification
Type of Identification Produce°`: •"•B`'� ALISSA LANTIGUA
Type of Identification Produced
Commission No. A0.4o*fF]�5`. November 3, 2017
q ru Budget Notary Services
Commission No. (Seal)
F0F FVJ'_
Revised 07/15/2014
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