HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-ALL APPLICABLE -INFO MUST BE -COMPLETED -FOR APPLICATION TO BE ACCEPTED /� t
Date: `Ou Permit Number:
" N�� CRECEIVEDBuilding Permit Applicatio9
Planning and Development Services
Building and Code Regulation Division - mitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Building
PROPOSEDIM'PROVEWNT LOCATION: r.,
Address: 5223 OAKLAND LAKE CIRCLE _ y
Legal Description: OAKLAND LAKE ESTATES (PB 60-14) LOT 48 (OR W ' LUcie COUnhe
Property Tax ID #: 1311-800-0061-000-9
Site Plan Name:
Project Name: OAKLAND ESTATES
Setbacks Front 195 .\l Back: 0.8e_ Right Side: $.SI, Left Side: % 50
DETAILED, DESCRIPTION OF WORK!
Ae%A.3 Sir I?�
S 106r0owrtg1 2 4. s t 2car 54m5e_
Lot No._
Block No.
r{uwuuudi wufK w ue Pen unneu unuef uus perrnu—LnecK du dppiy:
ZHVAC Gas Tank Gas Piping _Shutters Z Windows/Doors
❑✓— Electric ❑✓_ Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: - _ZZQi1 S Ft. of First Floor: ks$,%
Cost of Construction:$ Utilities:SewerDSeptic Building Height:k�
)� •
OWNER/LESSEE:
CONTRACTOR:
Name_ �V�-�Y•-G - r�\,q Q..�,Gn Oyi?•vtieS
Address:1450 CENTREPARK RI VD. #340
Name: ROBERT SMITHWICK
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.
>SUPPLEMENTAL CONSTRUCTION -LIEN LAW_INFORMATION,__>_
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: AB DESIGN GROUP, INC. Name:
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
Address:
City:
Zip:
Name: _
Address:
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 your property. A Notice of Commencement must be recolded and posted on the jobsite
before the fi�r�1spection. If you intend to obtain financing, consult with der or n attorney before
commenci"ork orAcordine vour Notice of Commencement. _
as
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me
thisaV!dayof 20'8—by
STATE OF FLORIDA
COUNTY OF PALM BEACH
The forgoing instrument was acknowledged before me
this Iffday of 20 L by
ROBERT SMITHACK ROBERT SMITHWICK
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub' - State of Florida )
Known Personally OR Produced Identification
Type of Identificat'
ZZOZ/oZ/ZO2 Yb
Commission No. usroei o uolss-1 ea, Ad f
pagwe� eajpuy
UPVoiq io el2lR onana A,mn., � d
Revised 07/15/2014
(Signature of Notary
Personally Known
Type of Identifica
Commission No.
State of Florida )
OR Produced Identification
Notary Public �l Florid,Andrea Lam ert
MY Commission GG 184517
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