HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONn
ALL I�PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da t Permit Number:
SCANNED
P
By
t. Lu (che (l oaOi
RECEIVED
Building Permit Application
0 018
Ing and Development Services AUG l 2
ng and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772).4624553 Fax: (772) 462-1578
Commercial
Permitting Department
St, Lucle County
Residential xxx
PER
IT APPLICATION FOR: Building
PsROPOSED
FIVIPROVEIVIENT LOCATION I
Add re� s:
5352.0akland Lake Circle fyr-I i eAt g P l 0 1u -11"V (./
Legal Aescription: Oakland Lake Estates (PB 60-14) Lot 11
Propel ty Tax ID #: 1311-800-0024-000 Lot No. 11
Site PIn Name: Block No.
Projec Name: OAKLAND ESTATES ;
Setba ks Front 15' Back: A&cq ht Sider I Left Side:
QETA LED DESCRIPTION OF WORK:
NEW 4NGLE FAMILY HOME
3 bedr� oms,Z baths, 2 car garage
CQ'NSR:UCTIQN' IN:FORMATI.O'N:.
Additi nal work to be
performed under tis permit - check all, apply:
VAC L _J Gas Tank Gas Piping _ Shutters a Windows/Doors
Electric 0✓ Plumbing- FISprinklers ElGenerator Z Roof Roof pitch
Total S . Ft of Construction: 1 %% Z S . Ft. of First.Floor:
Cost ofllConstruction: $ ,�03 5l0 _. Utilities: Sewer Septic Building Height: 18
O:UVNER/LESSEE:CONTRACTOR:
.
Name ,
Addr4:
City: VAST
Zip Co
Phone
E-Mail
Fill in f i
from t
VR, INC. dba RYAN HOMES
Name: ROBERT SMITHWICK
1450 CENTREPARK BLVD, STE 340
Company:'NVR, INC. dba RYAN HOMES
PALM BEACH State: FL
e: 33401 Fax: 561-720-1341
o. 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
SEFSTARTS@NVRINC.COM
e simple Title Holder on next page ( if different
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.
iil
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES NER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Na AB AB DESIGN GROUP, INC. I Name:
Addi SS:1441 N. RONALD REAGAN BLVD. Address:
City: LONGWOOD State: FL City: State:
Zip: z750 Phone: 407-774=6078 Zip: Phone:
FEE SIMPLE TITLE HOLDER
Naml
Ad d r -ss:
City
Zip: Phone: _
x Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
I certi that no work or installation has commenced prior to the issuance of a permit.
St. Luq e County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con ideration 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 fo owing building permit applications are exempt from undergoing a full concur rency review: room additions,
access ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARfjVING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imprements to your property. A Notice of Commencement must be recorded -and posted on the jobsite
before the first in ction. 1 ou intend to obtain financing, consult with len r ran attgrney before
commencing wi r reco ing your Notice of Commencement. _ /
as Age-nn M-r Owner I Signature of (74pdractor
STATP OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me
this (s_ day of �..A\ 20 1�by
(Name OtRerson acknowledging)
(Signatl re, of Notary Public- State of Florida )
Persona ly Known OR Produced Identification
Type of dentification Produced
Commi ion No.
I
Revis,, d 07/15/2014
STATE OF FLORIDA
COUNTY QF PALM BEACH
The forgoing instrument was acknowledged before me
this JLI�l day of .11NA 20 1� by
ROBERT SMITHWICK
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
ERIKA LEB I(Wmmis on No:
tate of Florida -Not ry Public
Commission # GG 084371
Marcfi 16, 2021
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