HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
-,Date: 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 XXX -_
PERMIT APPLICATION FOR:
Building .
PROPOSED IIVIPROUEMENT LOCATIONS `
Address: 5226 Oakland Lake Circle -
Legal Description:. Oakland Lake Estates (PB 60-14) Lot 39
Property Tax ID #::1311--800-0052-000-3 :
Lot No. 39
Site Plan Name:
Block No.
Project Name: OAKLAND ESTATES
Setbacks Front Back:
Right Side:.
Left Side:
DETAILS=D DE'SCRIPTION OF'W,.ORK
NEW SINGLE FAMILY HOME
-
CONSTRUCTION INFORMATION
- }
Additionalwork t0 be performed under this permit 7.Check all,
apply:
WIHVAC
.Gas Tank
❑Gas'Piping.
_
Shutters
Q
Windows/Doors
Electric PlumbingSprinklers
0 Generator
0
Roof Roof pitch
Total Sq: Ft of. Construction: 2188
S q.Ft. of. First Floor:
Cost of'Construction: $
Utilities:
LJ
Sewer �
Se
Septic
g Height: 18'
Building
ES
OUVNER/LS,EE
CONTRACTOR
Name NVR, INC. dba RYAN HOMES
Address: 1450 CENTREPARK BLVD, STE 340
City: WEST PALM BEACH ... State: FL
Zip Code: 33401 Fax: 561-720-1341':.::
Phone No. 561-818=7950
Name:. SCOTT FABER
Company: NVR, INC. dba, RYAN HOMES
Address,: 1450 CENTREPARK BLVD, STE 340
City: WEST PALM BEACH State: FL
Zip Code: 33401 Fax: 561-720-1341
Phone.No. 561-818-7950
E-Mail: SEFSTARTS@NVRINC.COM
Fill in fee simple Title Holder. on next page (if.different
from the Owner listed above)
:E-Mail: SEFSTARTS@NVRINC.COM
State or County License: CGC1517157
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�S PPL'EMENTAL��C��+`NSTR�CTI
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N�LI�ENI LAV1%'INFORMATION: I i
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DESIGNER/ENG1.INEE
i Nl�rrje;
All]dress.
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Zip;
AB DESIGN GROUP,
14411-k RONALD R!AGAN
;ry; eorlGwoob
. - Not:Applicable :
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BLVD. I: !
MORTGAGE COMPANY: x Not Applicable
Name: � pp
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AddreSS:
IIG { State: FL,
40i- f4-'6078
City: State':
3275Q PIhci',rie:
Zip: Phone:
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Cit-y:
Zip:
E SIMPLE ,71:tLE HO
]me:
ldrelss'.I
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'DER: X_ Not;Applicable = `
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BONDING -COMPANY: Not Applicable
Name: -
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Address:
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city:
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i Phq'ne:
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Zip: Phone:TI
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St. Cut
w ich
strict
In on
in cc(
Th fo
ac ess
rW R
imprc
be or
tliat no work or i tallatior� has commencedlprior to the Issuance of a permit.
!'Countyt,makes ono epresentation tlhat is granting a permit will authorize the permit holder to build the subject structure I '
in'. conflict with!a rapplicablelHome Owners;Assoclation rules, bylaws or and covenants that may restrict or prohibit such
e. Please consult th your Home Owners Association and review your, deed for any restrictions which may applyi
:Ierationl of tfie_r- rung of.this requested per' 'it, I do. hereby' agree that (,:will; in all respects; perform the work ;
dance w}ith the approved plansy the Florida B il'ding Codes'and St. Lucie County Amendments. i!
)fin bll� in ler it,a lications are' exem : f o
g g ipp I , . pi r m undergoing a full concu'rrericy review: room additions, +.
y struct�ires,sw'i ing pools, {fences walls, 'signs; screen rooms:and accessory uses to another non-residential use;
ING TO OwN'E' : l(ourfailure to:Recordl a :Notice oflCotimmencerrient-may. result in your paying twice for
rement's'to;you pMperty..'A`Notice of; Commencement must be'.recorded and posted'on the jobsite
the firstinspec ion.,If.you„intend to obtain financing, consult with! lender or an attorney before
�.ncinglWo' rk,or cordin I our Notice of Commencement.
Sig atu a of Ownr/L'es
'ST TE OF FLORIDA
C UNTY;OF461 eeAC
Th forgb ng in.gg met
r this a U day ofi t x
Keitti Tom lnsO 4- !
:(N me of person acktio
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kju5IICILy1t=jU1 tM u t.my r
'Personally ;Known I!�/
,Typ e of• ldentificatien;f
Co mission No;
Kevise�'071I��QI
Signature of d tra to License Holder
eff
Cont'ractoria' s Agent, for Owner
STATE OF:FLO IDA
COUNTY OF PALM BEACH
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tQw
s •IaknoWledged before
The forgoing instrument was acknowledged before me
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Ey
by120
this2caetay of 20
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I.�y,a✓
Faber
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✓I
gluf Notary Public state of Flon
-
tlrxAN
qNa e'of person acknowledging)
n
Andrea Lamb®rt
. My Commission GG 1845
y�,'• • ' Expires o212o1022
-
7 ,pn P(* Notary Public State of Florida
-Andrea Lambert
.IYI
Gb 184517
I {
. My Commission
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ptres
-isig`natur�0_f`N tary` _ - i6-S is - —
OR-Prod'uced. Identification
Personally Known Y OR Produced Identification'
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y.._
ed '`..........- - -
Type -of Identification• -Produced
i
(Seal) j
Commission'No. (Seal)
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;DATE
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i"i III
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COMPLETE
INI!
IALS
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