HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: $``�1,� SCANNED Permit Number: �gdd�033�
BY RECEIVED
St. Lucie Counfii
Building Permit Application AUG 1 s ±q
Planning and Development Services ST. Lucie County, permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building O aN N 'r V.-N
PRO,P,OSED. IMPROVEM!EV,T'LOCATION , '
Address: 5369 Oakland Lake Cir.
Legal Description: OAKLAND LAKE ESTATES (PEI 60-14) LOT 42
Property Tax ID #• 1311-800-0055-000-4
Site Plan Name:
Project Name: OAKLAND ESTATES
Setbacks Front Back: Right Side:
'IDEiTAILED,DESC,RIPTIONr,OFWO,RK;
Left Side:
Lot No.42
Block No.
garage conversion& temporary sales information center y f 0.3e-
[CONSTRUCTIOWINFORMATIONi
[ .1 v1.uuneu unuer uus permn —cnecK au appry:
nJHVAC Gas Tank DGasPiping_Shutters QWindows/Doors
1-1Electric0Plumbing ❑Sprinklers Generator Roof Roof pitch i
Total Sq. Ft of Construction: S Ft. of First Floor: I
Cost of Construction:$ al C)p0 utilities:�Sewer0Septic Building Height:
O W NERAESSEE:
CONTRACTOR'
Name e Si
Address: ID EnS -F(A Mr I)Nve
Name: ScottJames Faber
Company: NVR, INC. dba RYAN HOMES
city:_Nt I he (} StateF, A2
Zip Code: RSd3 4 Fax:
Phone No. I c;Lo1 9)7,--795T)
Address: 1450 Centrepark Blvd #309
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 on next page (if different
from the Owner listed above)
E-Mail: SEFSTARTS@NRVINC.COM
State -or County License: CGC1517157
-- -' --.._.. __.........._............... �,uw u!. wmmencemenc is requwrea.
.,SUP,P,LEMENTALCONSTRUCTLON-LIEN• LA'WJNFOR'IVIATIOR: -_
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address: _
City: State: City:, State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
Address:_
City:
Zip: - Phone:
BONDING COMPANY: Not
Address:
City:
Zip: Phone:--- —
UW rven/ Luiv r nmL r un rArriuvi t :Application is hereby made to obtain a permit to do the work and Installation as indicated.
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 ppermit 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 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
'9
Signature of Owner/ Lessee Contractor as Agent for Owner
Signature of Contra o /LI ns Holder
N
STATE OF FL9R�+ h
STATE OF FLORIDpy
COUNTYOF lAwrcmpci
COUNTY OF PCL�M Pa G-nAc,
The forgoing linstrurpent was acknowledged before me
The forgoing instrument was acknowledged before me
thls_qndayof 6216L 20tj by
thislSfdayof 'FlV� � 20\,q by
Y."JerWr 241, j L W k
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Name of person making statement
Name of pers making statement
Personally Known OR Produced Identification ,
Personally Known �=et'Type
of Identification
AZ brf ver'>l L:cuto
Type of)deUR alSlor�Produced
roduce a Scatamben ON
MATTHEw HCRTONission GNotary
Public - Arizonazano2
Maricopa County
Signa ure of Notary Public -State of Florida )
(Signature of Notary Public -State of�let4de)
flung
Commission No. Z4>1SS%%%21 (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 6/ z/ 1 /