HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
) / - Date: Permit Number: I a' / '" 0 3`,7 l0
•
RECEOVED
Building Permit Application
Planning and Development Services
Building
NOV ►� 2®'�,
and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PERMITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResidentialStX'-ucie County, FL
PERMIT APPLICATION FOR: Building
PROPOSED 'IMPROVEMENT LOCATION:
Address: 8453 Cobblestone Dr ` i
J �1
Legal Description:
10-1
Property Tax ID p:.2326-600-0084-000-1
79
Site Plan Name:
Lot No.
Creekside
Project Name:
Block No.
Setbacks Front e�5 •0�0 Back: �a Right Side: 5' Left Side: i 5i 1
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
`-� 2 2—
CONSTRUCTION. INFORMATION:
unuer tms permit— check al app y:
R]HVAC Gas Tank []Gas Piping _ Shutters
❑Windows/Doors
ZElectric rV(] Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor: l
Cost of Construction: $ %12� i�
Utilities: Sewer Septic Building Height:
OWNER/LESSEE: I rnF%1TQ A.
Name D.R. Horton
Address:1430 Culver Drive NE
City: Palm Bay State; FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: Melboumepermitting@DRHorton.com
Fill in fee simple Tine Holder on next page I If different
from the Owner listed above)
Name: Brian W. Davidson
Company: D.R. Horton
Address: 1430 Culver Drive NE
City:Palm Say y State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: MelboumepermitUng@DRHorton.com
State or County License: CRC1327068
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CO%UVICTION'LIEN.LAVW INFORMATION:
DESIGNER ENGINEER: _Not Applicable
Name: AS Design Group Inc.
Address: u41 N. Ronald Reagan Blvd.
City: Longwood State: FL
Zip: 32750 Phone: 407-444W7g
FEE SIMPLE TITLE HOLDER: _N
Name: ot Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
ZIP: Phone:
BONDING COMPANY:
Name:
Address:
City:
ZIP: Phone:
Not Applicable
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject struct
y applyure
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 ma.
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
commencingwork or recording, Your Notice o_ f Corr,
manr•nrr.e.. t.
Signature of Owner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFBre-erd
The forgoing instrument was acknowledged before me
this 8 dayof November Zp 17 by
�_%'doc L"
(Name of person acknowledging )
(Signature o otaryPublic- State of Florida )
Personally Known Vy(\ OR Produced Identification
Type of Identification Produced
Commission No.
.°" e&e� - Notary Public State or
? to `F, Sandra Leone
20
Revised 07/15/2014 y - - Expire` oeno- -
So -
STATE OF FLORIDA
COUNTY OF amverd
The forgoing Instrument was acknowledged before me
this 8 dayof November 17
zo — by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OL OR Produced Identification
Type of Identification Produced
REVIEWS FRONT ZONING I SUPERVISOR
COUNTER I PLANS
REVIEW REVIEW J REVIEW
aTF i
INITIALS
•—T_rvtry
N0. o40 alr ctery Public State or
d? Sandra Leone My Commission GG 0
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW