HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONProperty Tax ID #: 1403--500-0019-000/1
Site Plan Name: Avalon Lot 3
Project Name: Ocean Estate Drive Lot 3
Setbacks Front Back:
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Name Ocean Estate Drive LLC
Address: 9508 Windy Ridge Road
Right Side: Left Side:
City: Windermere State: FL
Zip Code: 34786 Fax:
Phone No. 407-489-2736
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Alan Tarpell
Company: Phoenix Realty Homes
Address: 1760 N Jog Road Suite 120
City: West Palm beach
Zip Code: 33411 Fax: _
Phone No. 561-799-5900 Ext 105
E-Mail:
State or County License: CGC-058625
Lot No. 3
Block No.
State: FL
II If valuejof construction is $2500 or more, a RECORDED Notice, of Commencement is required. I
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SUPPLEN�t CCt11SR`iJ Li _ IFC3RM1®
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: stofftt
Name:
Address: Swinton Road
Address:
City: State:
City: Delray Beach State: FL
Zips: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 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 acicordance 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 attorney before
commencing work or recording our Notice of Commencement.
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SiXnature of Contractor/License Holder
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF
W,2
COUNTY OF 6
The for ing inst t a acknowledg before me
this day of 20�by
The forgoing instru e a ac nowledged efore me
this day of 201� by
Z
WA)
(Name
(Name of son acknowledgi
p g)
of pe son acknowledging)
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(Signature of Notary Public- Sta# of Florida)
(Signature of Notary Public- SFa—tel6f Flori a )
\�/n
Personally Known OR Produced Identification
Type
Personally Known OR Produced Identification
of Identification
Type of Identification Produced
°
��'r �q� Notary Public State of Florida
Fran a
Commission No! M Cott�PtjlSr GG 082440
Commission No. �1f °�� Not4 lic State of Florida
'fix- Expires 07/27/2021
, Frances bonze
e My Commission GG 092440
Revised 07/15/2014
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