HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED'FOR APPLICATION TO BE ACCEPTED
Date: `��3� \1 R E C E 1 V D MAR 2017 Permit Number:' _.��y q
Building Permit Applicatson
Planning and DevelopinentServices
Building and Code Regulation Division
23W Virginia Avenue,Fort Pierce-Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: - 5
Address: Cobblestone Drive, Fort Pierce, FL-3 81
Legal Description:
Crrekside.Plat no. I 12 )Lott ( - a3('Z ii
Property Tax ID M. oco— Lot No. 10
Site Plan Name: Cree ide Block No.
Project Name: i
Setbacks Front D back:�y Right Side: Pj'50 Left Side(3-�'SO
DETAILED DESCRIPTION.OF�WORK:'_.
Construction for new Single Family Residence kZA IA
CONSTRUCTION INFORMATION:
ACIC11tional work to b
( r1ormed un er t is permit—c ec a apply:.
O✓ HVAC L_J Gas Tank V.GasPi =Shutters QWindows/Doors
�✓ Electric Plumbing �✓ Generator ✓�Roof. Roof pitch
Total Sq.•Ft of Construction: 3 S . Ft.of First Floor: 1 1ty
Cost of Construction:$ 200,000 ' Utilities: Sewer L-J 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@DRHaiton.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: CRCt327068
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: as Design Group Inc. Name:
Address:1441 N.Renaid Reagan Blvd. Address:
City: Longwood State: FL City: State:
Zip: 32750 Phone: 40744-6078 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 (ender or an attorney before
commencin work or recording our Notice of Commencement.
S
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF onward COUNTY OF a—d
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of February 20 17by this 13 day of February ,Zp 17 by
sanXl-a Leone sandl-a 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�OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Notary Public State of Florida Commission NO. e�Commission No. c _ Sandr����e
c My COMMIS sion GG 020251 ;o Notary Pu c3�a
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a of Florida
9� Q fires OB/10/2020 . andra Leone
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ov ao& Expires 08/10/2020
Revised 07/15/201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REV)EW REVIEW REVIEW REVIEW REVIEW
DATE (' i
COMPLETE `
INITIALS