HomeMy WebLinkAboutBuilding Permit ApplicationJ.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO B
.. .E ACCEPTED
Date:
Perm '. it Number:. I� O6 #oaaq
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' ; � kHER.'-D.JUN 0:9'2Q'7......
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:Building Per
Planning and Development Services
. pphcation
eaJlding and Code Regulat/on_Dfvlslon
230dVirginiaAvenue Fort pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578 C0111i11t?i`Ci81
Residential x
PERMIT APPLICATION FOR:
1 Building .:
_. PROPOSED IMPROVEMENT'LOCATION:,
5s:
Address:- 310Yellowstone C1R'
- . •. -
Lekai Description: -L �.
• �, SS 12 :: L v
o�t l l n -Z3b
.
1..:
Pro .e Tax ID #l• . �'3arP., w o0 F
- .P rty:
Site Plan Name: - .. Lot No.
Project Name::.: 1 .: Block No.
Setbacks Fron "
:. t Back:
2.y
RightSide: Left Site• �,')
i
., r . .
DETAILED;DESCRIPTION OF WORK
Y
Construction for new Single Famil Residence
LA2
CONSTRUCTION• INFORMATION:. .
r rana war to = orme un er ispermit—c ec,-a
IHVAG PP
a y:
. ... �j Gas Tank: ❑Gas Piping : Shutters:
.Electric... 0. rn .
�.1 W down/Doors
—Plumbing Z✓ Sprinklers
2 nerator
Ge Roof Roof pitch
Total Sq. Ft of Construction:
o Cost,& Construction: �✓ 5 of F
Utilities: Ft: Firs
t Floor:
e
.. ..:... ..f . .. .... ;. wer.. Septic Bu' ,
OWNI=R/LrESSEE riding Height:
Name D.R.Horton .. . CTOR
i.
•ONTRA -,
Address
1430 Culver Drive NE Name: Onan W . 00ason
City: Palm Bay y
. .: Compan : D;R: Horton
.
State: FL Address: 1430 Culver brine NE Zip Code; 32907 Fax-. 321-73' 34092°7'
.:� p
PFiong:No.321-733-2111 �,IryY alm8ay
Melbourne emtittin DRHo State: F
,. .. Zip Code: 32907::.
L
E-Mail: P . 9@ rton:com' N i321 7 Fa _
Fill in, fee simple. Title Holder on next a Phorie .o.
x; 321 733-7092 • -
ge"(ffdifferent. `" E-Mail: Melboumeperrnitting@DRHortori:corri
from the Owner listed above)
P
I. County. License: CRC1327068.
S - _ tale or
z` r If value of construct is $2500 or more, aJRECORDED Notice of Commencement is required..
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Rl�,CAa
-
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77
SUPPLEMENTAL'CONSTR -CTION LIEN LAIN INFORMATION;
DESIGNS, ENGINEER: .
I._Not Applicable . .
Name: � Deelgrr Gmup Inc. M • ORTGAGE COMPANY:
Address: 1441 N. Ronald Rbaean Mvii; Name: ,Not Applicable.
City: Longwood Ad.8kess.
. t
Zip. az7sn S-ate• FL
--- _Phone: aozaa eme . Ci.ry:
Zip
:.:
Phone:
• State:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name: pp..
80Nf)1NG COMPANY:
:Address:, Name:.: .. -Not Applicable
City:
ddr s
ZIP -
City:
e s:
City:
I on
I certify that no'
work or installation hes.commence ~'
e:
St. Lucie Count makes no representation That is.granting oatoerhrriitssu Issuance of a
y Permit.
which re. conflict with:any applicable Home Owners Association rules, bylawke thed covenants structure. Please consult w7th your Home Owners Assoelatlon and review your deraned for. any restrictions which P uth'orize the ermit holder build 'the subjects h(bcture h
In consideration P n t a
of the of this requested permit, I do hereby agree that I will, In all respects t rnay-restrict or pro t such.
In accordance with.the a ch may apply:
approved plans, the; Florida Building Codes and St. Lucie County.Amendments.
The following building permit applications are exempt from undergoing a full concurrt review:P Perform the work
accessary structures, swimrrling pools, fences walls sl ris screen rooms and.eo a ur
WARNING TO OWNER:' failureao Record a Notice of Comm ry room additions,
ry uses to another noti-residential use
improvements to .your pro a encement may result in our Paying p yo A Notice of Commencement must be recorded and posted on the 'olisit "
before the first inspection. if you intend to -obtain financing, consult with lender or an P twice for
commencin work or recordin our Notice :of Commencement.
attorney before e
Signature of Owner Lessee Contractor as Agent for Owner Si nature'of.�ontract�Or/Ucense
. STATE OF FLORIDA
COUNTY OF sir; STATE OF FLORIDA
:COUNTY OFe,�,d
'The•fo►going instrument -was acknowledged before me The forgoing:instrumentwas acknowled ed ti
.this day of JUNE .. 20' 17bY his 2 d
t ay of JUNE efore-me
g
<� Lew.
20 17 '
(Name ofperson acknowledging:). •
t(Name of person acknowledging)
(Slgnafure.o otary public- State of Florida )
ly (Signature of Notary:Public-State of Florida )
Personally Known 0( OR Produced Identification Type of Identification.Produced
Person , Known �=
OR Produced Identification TYPe of Identification Produced Commission No.
r v e r-,,
off? o! ry Public State.orFi rQm sion_ No: .
a
Sandia Leone o,.�Y al)votery Public State of F tla
251 Sandra Leone
Revised 07/8h614 �OF F< .: , Expires oena202o My commission GG o 1
.. ... .. .. OF F�•.
REVIEWS U.
FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW VEGETATION SEA TURTLE.
DATE REVIEW REVIEW REVIEW MANGROVE
1 REVIEW
COMPLETE . I REVIEW
iNITIALS
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