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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: IOW o. l l9 RecE QED -- Building Permit Application JUN 1 9 1019 PerrnPlanning and Development Services It Lucpepart Building and Code Regulation Division St. ie County 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXX PERMIT APPLICATION FOR: Building PROPOSED SIIVIP'ROVEIVIE!NT LQ`CATI'ON: � _ Address: 210 Oakland Lake Circle Legal Description: Oakland Lake Estates (PB 60-14) Lot (OR 3153-314) Property Tax ID #-. 1311-800-00y1-000-S Site Plan Name: Project Name: OAKLAND ESTATES Setbacks Front I5� Back: Q:ETAILED (DESCRIPTION :OF WORK: SINGLE FAMILY HOME I ✓ Right Side: Left Side: S Lot No. Block No. 3 �oec3ccoom s, 21nc�nS , 2 caY o�lru�e CONSTRUCTION ,I'NFOR'IVIATION: ; _ v - Additional work to e nnertormed under this permit —check all apply: RIHVAC Gas Tank ❑Gas Piping _ Shutters 12Windows/Doors Electric PlumbingSprinklers 1:1 Generator EgRoof Roof pitch Total Sq. Ft of Construction: 01 S . Ft. of.First Floor: Cost of Construction: $ .Itiog2O . Utilities: Sewer Septic Building Height: O'1NNER/LESSEE`-- CON,TRACTOR: 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. 954-444-7223 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 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLE,IVIENTA'L UN' _,RUCTI'ON LLE;N LI 'W'INFO,RMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable N AB'DESIGN GROUP INC Name' ame.. 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 Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in 0 t ict 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, 1 do hereby agree that I will, in all respects, perform'th_e work in. accordance with the.a.pproved 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 attorney before commencing work or recordinia vour Notice of Commencement. -Signa ur Owner ee/Contractor as Agent for Owner Signature o ntractor License Holder STATE'OF FLORIDA STATE OF FLORIDA COUNTY OF PALM BEACH' COUNTY OF PALM BEACH. The forgoing instrument was acknowledged before me The forg in instrument was acknowledged before me this _300i lay of TUHe 201 by this Z��ii-- day of Tuo'e— 20 17 by ROBERTSMITHWICK ROBERT,SMITHWICK (Name of person acknowledging) (Name of person'acknowledging ) Signature of Notary Public- State of Florida) (Signature of Notary Public. State of -Florida J Personally Known .y/ OR Produced Identification Personally Known Type of Identification Pro Type of Identification Prod e_dWJWo,, ERIU7EBRINI q,, o A . on a- tary u131 lc �.Stat of Flonda-Notary Public ep Co is ion # G ; 084371 Commission No. ©� _ F Commission No: �O ►= Co Sision # Gq 084V1 .';: MMmission Expires ., My Commission Expires. _ �''�iii ��`% March 16, 2021 '��ttittt�` March 16, 2021 . Revised 07/15/2014 REVIEWS ... FRONT : ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE :.COMPLETE INITIALS