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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
-Date: � .ti'� Permit Number:
Building Permit Application
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 Residential X
PERMIT APPLICATION FOR: Building SR
PROPOSED,IM.PROVEMENT LOCATION;
Address: �5� Cobblestone Drive, Fort Pierce, FL 34981 i 3 -LO L-P
Legal Description:
Crrekside Plat no. t ( IZ ) Lot (3921^23IO'L)
Property Tax ID#: 2326-600-LOCRO--OoG Lot No.
Site Plan Name: Creekside �( j" Block No.
Project Name: ,r,
Setbacks Front ��.2C:) Back:A" Right Side: Left Side: !U-a'(
44
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
CONSTRUCTION INFORMATION:
Ac1clitional work toee orme under this permit—check a apply:
O✓O HVAC []Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
�✓ Electric 0 Plumbing �✓ Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 32114 e L S . Ft.of First Floor: S
Cost of Construction:$ 200,000 Utilities. LrJSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name D.R.Horton Name: Brian W:Davidson
Address:1430 Culver Drive NE Company: D.R.Horton
City: Palm Bay State:FL Address: 1430 Culver Drive NE
Zip Code: 32907 Fax:321-733-7092 City: Palm Bay State.FL
Phone No.321-733-2111 Zip Code: 32907 Fax: 321-733-7092
E-Mail:Melboumepermitting@DRHorton.com Phone,No. 321-733-2111
Fill in fee simple Title Holder on next page(if different E-Mail: MelboumepermitUng@DRHorton.com
from the Owner listed above) State or County License: CRC1327068
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: ABreslgn Group Inc. Name:
Address:1441 N.Ronald Reagan Blvd. Address:
City: Longwood State: FL City: State:
Zip: 32750 Phone: 4o7-4"078 Zip: Phone:
FEE SIMPLE TITLE HOLDER: +Not Applicable BONDING.COMPANY: Not Applicable
Name: 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 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.
S
Signature of Owner/Lessee/Contractor as Agent for Owner S gnaw toe of-Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF B,--,d COUNTY OF Brevard
The forggoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 133 day of February 20 L 7by this 13 day of February 20 17 by
1 Sall#a Leon -a Leon
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida} (Signature of Notary Public-State of Florida
yP )
Personally Known vim- OR Produced Identification Personally Known "�(\ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. apRY"ye So41EPa plic State of Florida
`16-9 f; r{i a(Leone Commission No. ,r �°u Notary T� tate of Florida
a My Commission GG 020251 Sandra Leoe
`- ° 0/2020 V c My Commission GG 020251
F F
Revised 07/15/2014 "
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