HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED`
Date: 1 Permit Number: ncA - 4a 13
RECEIV7G AUG d12017
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 I'IVIPROVEMENT LOCATION
Address: f53r280ak1and Lake Circle
Legal Description: Oakland Lake Estates (PB 60-14) Lot __7 (OR 3153-314)
Property Tax ID #: 1311-800-002a000-_0 Lot No. _-
Site Plan Name: Block No.
Project Name: OAKLAND ESTATES�I
Setbacks Front l5 Back: ;2"r�. Right Side: 111R4
Lgft Side: -
SINGLE FAMILY HOME Kohl- 21ct5 �- gem vocxY� 2/2
2S
,CONSTRUCTIO.N. (NFORIVIATI:O'N
Additional work to fje nerformed under this permit:- check all apply:
11HVAC LI Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric ❑_Plumbing �Spr' klers Generator Roof Roof pitch
Total Sq. Ft of Construction: 2 16 1 S . Ft. of First Floor:
Cost of Construction: $ I 0;3 T o Utilities: Sewer Septic Building Height:
OWNERAISSEE-
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. 954-444-7223
Address: 1450 CENTREPARK BLVD, STE 340
City: WEST PALM BEACH State: FL
Zip Code: 33401 Fax: 561-720-1341
Phone No. 954-44477223
E-Mail: CBUGG@NVRINC.COM
Fill-in fee simple Title Holder. on next page( if'different
from the Owner listed above)
E-Mail: CBUGG@NVRINC.COM
State or County License: CRC057817
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I
J! SUPPLEMENTAL CONSTRUCTION, LIEN.,LAW MFORMATioN,:
DESIGNER/ENGINEER: _ Not Applicable
Name: AYDESIGN GROUP, INC.
Address: 1441 N. RONALD REAGAN BLVD.
City: LONGWOOD State: FL
Zip: 32750 P h o n e 407-774-6078
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
Not Applicable
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 attornev before
corrimencinf�.work or
e
STATE OF FLORIDA
.COUNTY OF PALM BEACH
ur Notice of Commencement.
as Agent
The forgoing instrument was acknowledged before me
this _Xtlay of TUHG 20 /7 by
ROBERT SMITHWICK
(Name of person acknowledging)
I r't� �-4_L
Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Pro P .
Commission No.
Revised 07/15/2014
Signature orR6ntractor/License. Holder
STATE OF FLORIDA
COUNTY OF PALMBEACH
The forgoing instrument was acknowledged before me
this � day of Tune— 20 17 by-
ROBERT SMITHWICK
(Name of person acknowledging).
(Signature of Notary
Public- State of Florida )
Personally Known
Type of Identification Prod q'4aljlgp,. ' ERIKA LE13RINI
at �of �lorida-N6tary Public Commission No.
'o slon # G, 084371
My Commissio Expires
March .16,- 2021
t= Co is ion # G� 084371
Mmmissio Expires
March 16, 2021 11
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS