HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 ,,
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: `� Permit Number: \0y3 - t 13
RECEIVED
Building Permit Application IAN 0 4 min
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
ST. Lii County, Permitting
Residential
PERMIT APPLICATION FOR: Building SCANNED I
Address: 5286 OAKLAND LAKE CIRCLE . t/Wip r Z
Legal Description: OAKLAND LAKE ESTATES (PB 60-14) LOT 24 (OR
Property Tax ID #: 1311-800-0037-000-2
Site Plan Name:
Project Name: OAKLAND ES; ES
Setbacks Front 15.17' Back: 10.83'
OF WORK:
Right Side: 5.5' Left Side: 5_5'
3 yeC�ro��,,,,s , Ztir,��rOOw.S , 2 cclr
INFORMATION:
Lot No. c�.l
Block No.
Aaait onai worK co oe
❑✓_ HVAC
errormea
unaer is perms-cnecx all
Gas Tank ❑Gas Piping
apply;
Z Windows/Doors
_Shutters
Electric
OPlumbing
Sprinklers
11 Generator
FV]Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
�3`3
it
Cost of Construction:
$ .� Utilities:•
Sewer LSeptic
Building Height: too
OWNER/LESSEE:
CONTRACTOR:
Name Ili Mill . due. _ 1iO+reS _
Address: 1450 CENTREPARK BLVD. #340
Name: ROBERTSMITHWICK
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:
City: WEST PALM BEACH State: FL
Zip Code: 33401 Fax: 561-720-1341
Phone No. 954-444-7223
E-Mail: SEFSTARTS@NVRINC.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: SEFSTARTS@NRVINC.COM
State or County License: CRC057817
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. .
Vb::�
SURPLEMENTAL;C,0', RU,CTION:LIEN�LAvv INFORMATION:
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:
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 accordance 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 ur property. A Notice of Commencement must be rec ed and posted on the jobsite
before the first' pection OFF you intend to obtain financing, consult wit der or an attorney before
comment or rec rding vour Notice of Commencement. /i
as
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forg ing instrument was acknowledged before me
thisday of ,n 20 ( by
ROBERT SMITHACK
(Name of person ackno Ie.O+rag)Notary Public State 0: Florida
w Andrea Lambed
My Commission GG 184517
a de Expires 02/20l202222
Personally Known " OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me
thisMday of A, 20 Why
ROBERTSMITHWICK P% Notary Public State of Flodda
(Name of person acknowl
02/2012022
(Signature of Notary Publi - State of Florida )
Personally Known OR OR Produced Identification
Type of Identification Produced
Commission No.
(Seal)
184517
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