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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�' ,d�\'� Permit Number: 10�J-'d�°5]
• RECEIVTD )AR 3020177
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 5
PROPOSED IMPROVEMENT LOCATION:
Address: Cobblestone Drive, Fort Pierce, FL 34981 OY—. .�{
Legal Description:
Crrekside Plat no. Lot 102 _�L3U2_
Property Tax ID#:_2326-600- OtC-1 - pQ- Lot No. 1 t7Z
Site Plan Name: Creekside Block No.
Project Name:— tea--zb
Setbacks Front 3�5' Back: 1� Right Side: Left Side: 1+l q
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence �'tl'Q aW:�' 2-
2ti z s�
[CONSTRUCTION INFORMATION:
itiona workto (ewe( orme under this permit-c ec a apply:
0HVAC Gas Tank ❑Gas Piping _Shutters aWindows/Doors
Z✓ Electric Plumbing ZSpri klers E Generator Z Roof Roof pitch
Total Sq. Ft of Construction: 34_-qe:� S . Ft.of First Floor: i a03 r
Cost of Construction:$ 200,000 Utilities: Sewer 0Septic . 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: 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 \
RECEIVrD t4AR 3 0 7017 r
SUPPLEMENTAL CONSTRUCTION LIEN LAW`.IN FORMATION:
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"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,wails,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
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 ore-rd COUNTY OF are-
The forggoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 133 day of February 20 7by this 13 day of_ February 20 17 by
1 saw(m Leoire salro(ra Leoife
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Know 6 _OR Produced Identification Personally Known D OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. rr Notary Put�8e of Florida te�o(F91arlda
Commission N V- -
Nola NO
Commission '11
r° Sandra Leone Sandra LeoneMy commission GG 020251 My Commission GG 02o251
OF�° oc ri
Revised 07115/2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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