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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:YM'b� Jo Permit Number:
} a - RECEIVED
Building Permit Applicatio DEC 0 3 Z 18
Planning and Development Services ST: Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Building
'PROPOSED IMP. ROVEMENT LOCATION:
Address: SIG,, %a — Oakland Lake Circle 5y rj —e c —3 I-tq( T G
Legal Description: Oakland Lake Estates (PB 60-14) Lot 40 , l
Property Tax ID #: 1311-800-0053-000-0
1
Site Plan Name:
Project Name: OAKLAND ESTATES
Setbacks Front15.00' Back
11.67'
DETAILED DESCRIPTION OF WORK -
NEW SINGLE FAMILY HOME
3 bedrooms, 2 baths, 2 car garage
ON:
HVAC U Gas Tank
Electric Z Plumbing
Total Sq. Ft of Construction: 1944
Cost of Construction: $
1 4�! '7.Z �i.nf5
Lot No. 4u
Block No.
Right Side: 11.00' LeftSide: 1100'
3as Piping
Sprinklers
U
Shutters Z Windows/Doors
Roof = Roof pitch
1:1Generator
S Ft. of First Floor: 1452
Utilities: Sewer Septic
Building Height: 18'
OWNER/LESSEE:
CONTRACTO,R:' Y
Nam0VR, 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.561-818-7950
Address: 1450 CENTREPARK BLVD, STE 340
City: WEST PALM BEACH State: FL
Zip Code: 33401 Fax: 561-720-1341
Phone No. 561-818-7950
E-Mail: SEFSTARTS@NVRINC.COM
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: SEFSTARTS ac NVRINC.COM
State or County License: CRC057817
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION. LIEN LAW ]NFORMATIONi
DESIGNER/ENGINEER: _ Not Applicable
Name: AS DESIGN GROUP, INC.
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 1441 N. RONALD REAGAN BLVD.
Address:
City: LONGWOOD State: FL
Zip: 32750' Phone: 407-774-6078
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:'
Address:
City: I
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
confl which is in 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, I do hereby agree that I will, in all respects, perform the work
in accordanI ce 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 OW ER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t our p 0 erty. A Notice of Commencement must be recorded and posted on the jobsite
before the ' s Spec �on. If you intend to obtain financing, consult with I¢}�er or n attorney before
comme I rk ar'�fecordinlz vour Notice of Commencement.
as
STATE OF'FLORIDA
COUNTY OF PALM BEACH
The forgoing instrikiment was acknowledged before me
thisaoNiyof %X 201%_by
ROBERT SMITH'WCK
(Name of�peison acknowledging)
(Signature of Notary Publie- State of Florida )
Personally Known // OR Produced Identification
Type of Identification P
�•lE Notary Publie State of Florid,
Commission No. Andre 'ert
My Co miss on GG 184517
4 W Expires 0212012022
Revised 07./1512014
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing ins�rt�+k^entwas acknowledged before me
thl&k'day ofy _ 1_
20 _L% by
ROBERT SMITHWICK
(Name of person acknowledging )
Type of
Notary PubjX- State
Known i/ OR Produced Identification
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