HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: 4' U` I Permit Number:EIVED
(0 Q l
1g ppuirsin Permit A licati C
Planning and Development Services 6 201$
V
Building and Code Regulation Division APR
2300 Virginia Avenue, Fort Pierce FL 34982epartrnent
Phone: (772) 462-1553 Fax: (772) 462-1578 . commercial f�Qltt_AttimS .
�. , FL
PERMIT APPLICATION FOR: Building
PROPOSED'IMPROVEMENT .LOCAT'll
Address- 5320 Oakland Lake Circle
Legal Description: Oakland Lake Estates (PB 60-14) Lot 18
Property Tax ID #::1311-800-0031-000-0 j Lot No. 18
Site Plan Name: 1 Block No.
Project Name: OAKLAND STATES �.
Setbacks Front 15' Back• Right Side: Left Sid ' A (•��
DETAILED DESCRIPTION OF WORK:
SINGLE FAMILY HOME
CONSTRUCTION !INFORMATION:
Additionalwork to e performed. under this permit —check all apply:
W]HVAC Flas Tank Gas Piping _Shutters Z Windows/Doors
ZElectric ✓❑_ Plumbing �Spri rs FIGenerator W1 Roof (oZ Roof pitch
Total S . Ft of Construction: 44 � S . Ft. of First Floor: � N `J � to q �1 � o
Cost of Construction: $ 1041 qp0 Utilities: Ir 1Sewer OSeptic Building Height: 18,
OWNER/LESSEE`:
CONTRACTOR:
Name NVR, INC. dba RYAN HOMES
Name: ROBERT SMITHWICK
Address: 1450 CENTREPARK BLVD, STE 340
City: WEST PALM BEACH State: FL
Zip Code: 33401 Fax: 561-720-1;341
Phone No. 954-444-7223
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. 954-444-7223
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.
�w 4
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: AB DESIGN GROUP, INC. Name:
Address: 1441 N. RONALD REAGAN BLVD. I Address:
City: LONGWOOD I State: FL City: State:
Zip: 32750 Phone: 407-774-6078 I Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY:
Name:
Name: _
Address:
Address:
City:
City:_
Zip: Phone:
Zip:
certify that no work or installation has commenced prior to the issuance•of a permit.
Phone:
_Not Applicable
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 Riecord a Notice of Commencement may result in your paying twice for
improvements to your ropeKRauvour
tA Notice of Commencement must be recorded a poste on the jobsite
before the first inspon. If intend to obtain financing, consult with lende o an at rney before
commencing wor recor Notice of Commencement. r,
Signature
STATE OF FLORIDA
CO U NTY OF PALM BEACH
ctor as Agent for Owner Signature of Cor>dctor/License Holder
STATE OF FLORIDA
COUNTY OF PALM BEACH
The f7u,ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this jj=clay of �-'a rc-h - 20 JCby this � ay of �'G4 20 /Q by
ROBERT SMITHWICK
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known �R Produced Identification
Type of Identification Produced ' A _
ROBERT SMITHWICK
(Name of person acknowledging `
(Signature of Notary ��ORaPtroclucecl
e of Florida )
Personally Known Identification
2marffentification
Commission No._=State of Florida No a1Ji[nNo.
=* •_ Commission # G 4 1
Y�
My Commission Expires
Revised 07/15/2014
ERIKA LEBRINI
State of F�(�tYNotary Publ
Commis Ion ## GG 084371
My Commission Expires
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