HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: gdS- CN(A
SCANNED
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Building Permit Application MAY 14 2018
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
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PERMIT APPLICATION FOR: Building
PROP;O_SED'IM_ PROVEME'NT LOCATION:
Address: 5290 Oakland Lake Circle
Legal Description: Oakland Lake Estates (PB 60-14) Lot 23
1
Property Tax ID #: 1311-800-0036-000-5
Site Plan Name: !
Project Name: OAKLAND2STATES
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Setbacks Front 15' Bacly1t_
OETAILED DESCRIPTION OF'WVORK:
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Right Side: 5 Left
Permitting Department
Esi8&n1WdexCounty, FL
Lot No. 23
Block No.
NEW SINGLE FAMILY HOME
CONSTROCTION INFORMATION:
Additional work to e ertormed under this permit — check a apply:
ZHVAC Gas Tank Gas Piping _ Shutters Windows/Doors
Electric 0✓ Plumbing �Spr' ers Generator Roof Roof pitch
Total Sq. Ft of Construction:,,/ S . FtFt. of First Floor:
Cost of Construction: $ Li ZZo.� utilities: LJSewer 0Septic Building Height:
OWNER/LESSEE:
'CONTRACTOR:
Name NVR, INC. dba RYAN'HOMES
Address: 1450 CENTREPARK BLVD, STE 340
Name: ROBERT SMITHWICK
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. 954-444-7223
E-Mail: SEFSTARTS@NVRINC.COM
E-Mail: SEFSTARTS@NVRINC.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CRC057817
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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. Address:
City: LONGWOOD State:; FL City: State:
Zip: 32750 Phone: 407-774-5078 ; Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: I Address:
City: I City:
Zip: Phone: I Zip: Phone:
I certify that no work or installation has commenced
St. Lucie County makes no representation that is gray
which is in conflict with any applicable Home Owners
structure. Please consult with your Home Owners As:
In consideration of the granting of this requested p
in accordance with the approved plans, the Florida
The following building permit applications are exer
accessory structures, swimming pools, fences, wall.
WARNING TO OWNER: Your failure to Reco
improvements to your ropeK21Uvou_rNotic'
tA Noticel'i
before the first inson. If, intend to
commencing wor recor
Signature oj�W&/Lessee/Contractor as Agent
STATE OF FLORIDA
COUNTY OF PALM BEACH
or to the issuance of a permit.
Ing a permit will authorize the permit holder to build the subject structure
kssociation rules, bylaws or and covenants that may restrict or prohibit such
iciation and review your deed for any restrictions which may apply.
lit, I do hereby agree that I will, in all respects, perform the work
[ding Codes and St. Lucie County Amendments.
pt from undergoing a full concurrency review: room additions,
signs, screen rooms and accessory uses to another non-residential use
d a Notice of Commencement may result in your paying twice for
f Commencement must be recorded a poste on the jobsite
obtain financing, consult with lende o an 7rney before
, of Commencement.
The forgoing instrument was acknowledged before me
this � day of 201J�Lby
ROBERT SMITHWICK
(Name of person acknowledging)
i
� I
I
(Signature of Notary Public- State of Florida' )
Personally Known �R Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
er I Signature of
STATE OF FLORIDA
CO U NTY OF PALM BEACH
cerise Holder
The forgoing instrum nt was acknowledged before me
this _ day of 20 $ by
ROBERT SMITHWICK
(Name of person acknowledging `
.1
(Signature of Notary Public- State of Florida )
Personally Known _
ntification
INI
State of Florida-NoGka
Commission # 4
My Commissioril Expires
fo
OR Produced Identification
ERIKA LEBRINI
State of F(s���}Notary Public
Commis Ion ##kk GG 084371
My Commission Expires
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