HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: `O's-
EC
Building Permit Application MAR 3 0 2017
Planning and Development Services
Building and Code Regulation Division PERMI'T ING 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie C-*)unty. _'
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
,PROPOSED,IMPROVEMENTLLOCATION:
Address: Cobblestone Drive, Fort Pierce, FL 3 1
Legal Description:
Crrekside Plat no. (P655`tti) Lot cJ (30JJ1-23(,Z �y
Property Tax ID#: 2326-600- �f .. ��17�(y Lot No. t5
Site Plan Name: Creekside Block No.
Project Name: 21,23
Setbacks Front Q5456 Back:_ Right Side: -(00 Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence V,0-13, L
PQJO-�, 2, l
CONSTRUCTION INFORMATION:
Additional work to (e ne orme under this permit—c ec a app y:
ZHVAC L..J Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Z Plumbing Sprinkle Generator Roof Roof pitch
z 2
Total Sq.Ft of Construction: J�� So. Ft.of First Floor:
Cost of Construction:$ 200,000 Utilities:Sewer Septic Building Height:.
OWNERAESSEE: CONTRACTOR:
Name D.R.Horton Name: Brian W.Davidson
Address:1430 Culver Drive NE Company: D.R.Horton
City: Palm Bay State:FL Address: 1.430 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:Melbournepermitting@DRHorton.com Phone No. 321-733-2111
Fill in fee simple Title Holder 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.
1
SUPPLEMENTAL-'CONSTRUCTION LIEN LAW.INFORMATION:
DESIGNER/ENGINEER: __ Not Applicable MORTGAGE COMPANY: —Not Applicable
Name: As Design Group Inc. Name:
Address:1441 N.Ronald Reagan Blvd. Address:
City: Longwood State: FL City: State:
Zip: 32750 Phone: 407-44-6078 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 lender or an attorney before
commencing 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 ar.-rd COUNTY OF Brevard
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 3 day of February , ZO 17by this 1 3 day of February ,Zp 17 by
1 'San#a Leone Sahall-a bone
(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 Known OR Produced Identification
Type of Identification Produced T f Identification roduced
} .1 Pu tary Public State of Flo ida
Commission No. o #$e Com ission No. I)Notary Public State of rida
? ndra Leone ?° Sandra Leone
�9� P My Commission GG 020 1 P My Commission GG 0 51
8)10f2020
Revised 07/15/2014
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