HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: m 17 �S•,Z� .�? Permit Number: -
A i u n of rrou,
RECEEV E-D
Building Permit Application
Planning and Development Services `�� M�� ��'@
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED,IMRROVEMET,LOCATIQN•
Address: 8623 Cobblestone Drive FP 32945
CREEKSIDE PLAT NO. (PB 55-12)ROAD RSAV(E CREEKSIDE DR,W CREEKSIDE DR,TIDEWATER CIR,CENTER DR,YELLOWSTONE CIR)(7.987 AC)(AS PER PLAT DEDICATION DATED 10-17-2006)
Legal Description
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Property Tax ID#:;2326-600-0034-9999 Lot No.
Site Plan Name: Creekside Block No.
Project Name: Creekside
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Setbacks Front ! Back: Right Side: Left Side:
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DETAILED DESCRIPTION ,t7F
WORK!
Electrical for Fountain in lake.
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CC}NSTRUC"TI; lORONF
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Additional to be performed under this p t check apply:
HVAC Gas Tank Das Piping
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_Shutters Windows/Doors
_Electric ❑ Plumbing Sprinklers ElGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
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Cost of Construction:$ 3"1 9 1 Q Utilities: _Sewer[]Septic Building Height:
01NNER/LESSEEa
6,1-
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Name DR Horton Name. h < {-_
Address:1430 Culver Drive NE Company: tJ e C_ ZK c_
City: Palm BayState:FL Address:l lqo C1W-1-ij c.I KQ(
Zip Code: 32907 Fax:866-893-4891 City: t,�. MQ b�o\J��S� State: FU
Phone No.321-733-7972 Zip Code: 329 0y Fax: 321-�� Say 3
E-Mail:slpedretti@drhorton.com Phone No. 32.1-3 L3 -oily
Fill in fee simple Ti itle Holder on next page(if different E-Mail: C`'1nl.ih r (-, CC Vdvr�P��C B,'1C( Ws Czn,
from the Owner l I isted above) State or County License:
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONST"RUST I(7N LIEN LAW INFt?RMATI ON
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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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 thepermit 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 firs ' ecti If you intend to obtain financing,consult with lender or an attorney before
commenci wo re rdin our Notice of Commencement
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Signat6fe of f0' er(/Lem r e/ ontrraavctor as Agent for Owner Signature of Contractor/License Holder
STATE OF
COUNTY OF ORIDA1rP.i/21�'� COUNTY OF STATE OF FLORIDA
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this—4 day of )1Af 20 L�Jby this_L& day of r(1C y-C-1 20 12.by
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(Name of person ac know16 ing) (Na a of pelkon acknowledging)
cyUg-Qo'c—' K
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(Signature of Notai Pub is-S4 a of Florida) (Signatur f Notary Public- ate of Florida)
Personally Known I OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. F ^dv»5-1 (Seal) Commission No. k- SAAELA L KRATZ
X. MY COMMISSION#FF2366
Commission#FF °" '''
Revised 07/1WA014 04a059,
i � iAC7�399L'S3 rWridaNuayService.con•
Commission em�ppires.:
i -Au us621,20th`
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS �
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