HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: i-703'0(o
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Building Permit Application MAR——0 Planning and Development Services �0 17
Building and Code Regulation Division PER otilTfING
2300 Virginia Avenue,fort Pierce FL 34-982 gg
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resi&6h o CRunty, FL
PERMIT APPLICATION FOR: Building —
PROPOSED IMPROVEMENT LOCATION:
Address: Cobblestone Drive, Fort Pierce, FL 34981 /� fi(' 121—
Legal Description:
Crrekside Plat no. (5S" -l2 ) Lot i GO (3PIZI-23(o-k
Property Tax lD#: 2326-600- p\pry -C)C 0 1!5 Lot No. 1
Site Plan Name: Creekside Block No.
Project Name:
Setbacks Front o.'!�3'0 Back: '6•47:� Right Side: Z'1v Left Side: -13-U3
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence ��at
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- 2 be�-V. 2-
CONSTRUCTION INFORMATION:
Aciclitional work to 0e ertormed under this permit-clecl all apply:
RjHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Qjb?-32- S . Ft.of First Floor._7� 1 `_O
Cost of Construction:$ 200,000 Utilities: Sewer 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: 32-907 Fax: 321-733-7092
E-Mail:Melbournepermitting@DRHorton.com Phone No. 321-733-2111
Fill in fee simple Title bolder on next page(if different E-Mail: Melboumepermitting@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.
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_SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: AB Design Group inc. Name:
Address:1441 N.Ronald Reagan Blvd. Address:
City: Longwood State: FL City: State:
Zip: 32750 Phone: 407-4"07a 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 Signace of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF aravard COUNTY OF 13--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of February 20 17by this 3 day of_ February 20 17 by
1 sanPlna Leone saw(m Leone
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known_C OR Produced Identification Personally KnowrDr, ,OR Produced Identification
Type of Identification Produced Type of Identification Produced
J
Commission No. pX Notary Publ'"Ir of Florida Commission No. ice
andra Leone
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My Commission GG 020251 c��Y°ia� Notary Public State of Florida
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w'tir' '9�r ca My Commission GG 020251
Revised 07!15/ 14� oF�o� Expires 08J10J2o20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE COMPLETE 4 1A Q
INITIALS ��