HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
11
Building Permit Application MPR�.g1°�9me�t
Planning and Development Services oepa sty
Building and Code Regulation Division pet SWc�� �e Cc�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX
PERMIT APPLICATION FOR: Building
PROPO-,SED JIMPRO,VEMENT LOCATION ._
Address: 5227 Oakland Lake Circle
Legal Description: Oakland Lake Estates (PB 60-14) Lot 49
Property Tax ID #: 1311-800-0062-000-6 Lot No. 49
Site Plan Name: Block No.
Project Name: OAKLAND ESTATES
Setbacks Front 15.00' Back: 14.04' Right Side: 28.45' Left Side: 18.45'
DfTALL'ED ,DESCRIPTION OF WORK:
NEW SINGLE FAMILY HOME
4 bedrooms, baths 2 car garage
CO'NSTRU_ CTI,ON' IN'F.O_ RMATION:
Additional work to b e performed under this permit — check all app y: .
�HVAC Gas Tank Gas Piping _ Shutters Q Windows/Doors
ZElectric Z Plumbing rinklers Generator Roof Roof pitch
Total Sq. Ft of Construction2' U S . Ft. of First Floor: 1452
Cost of Construction: $ 103,610 Utilities: Sewer Septic Building Height: 18'
OWN ER/LESSEE::
CONTRACTOR:
Name NVR, INC. dba RYAN HOMES
Name: ROBERT SMITHWICK
Address: 1450 CENTREPARK BLVD, STE 340
Company: NVR, INC. dba RYAN HOMES
City: WEST PALM BEACH State: FL
Zip Code: 33401 Fax: 561-720-1341
Phone No. 561-818-7950
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: CRC057817
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r, 6
SUPPLEMENTAL CONSTRUCTION; LIEN LAUV.INFORIVIATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: AB DESIGN GROUP, INC.
Name:
Address: 1441 N. RONALD REAGAN BLVD.
Address:
City: LONGWOOD State: FL
City: 'State:
Zip: 32750 Phone: 407-774-6078
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x 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 resul your paying twice for
improvements to property. A Notice of Commencement must be recorde an posted on the jobsite
before the first ' ection. If you intend to obtain financing, consult wit le er an ttorney before
commen ' r r ordin our Notice of Commencement.
X,00�_
Si a Fm of wner/Lessee/Contractor as Agent for Owner Signat re o rac or License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF PALM BEACH COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ay of 20 _by thisCD14day of 20 � by
ROBERT SMITHACK ROBERT SMITHWICK
(Name of person acknowledging) (Name of person acknowledging )
(Signature of Notary Pu c- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
�vc�`' Notary Public State of Florida
Revised OZ/15/2014 Andrea Lambert
ry r My Commission GG 184517
F—im. m19nnn92
0 A X_4AJ
Ignature of NotaryPubl' -'State of Florida
w)
Personally KnonOR Produced Identification
Type of Identification Produced
eal)
Notarg Pubt� StEde of Flwiida.
area �.aaft!tl
Expires 02/20/2022
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