HomeMy WebLinkAboutBuilding Permit Application 8-9-17ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
:. :... _ . Perm d � y d . .. it Number::.-� � 1 a,'a1 '
RECE11," D lUN 0 9"2017
.. Buildi .
ng Permit Application: Planning and Development Services
8ullding and Code Regulation Diujslan
230 Virglalq Avenue, Fort Pierce FL-3498Z.
Phone: (772) 462=1553 Fax: (772) 462=1578 Commercial
Residential X
PERMIT APPLICATION FOR:
:. Building
PROPOSED lMPROVEMENT'LOCATION_
.Address: 3121 Yellowstone CIR :
Legal De
scriptibil Creekside Plat.No.1 Lot 115 "
Property Tax ID #t: _ 2326-600-0120-000-6
Site Plan Name: .. 'Lot No. 115
Project Name:.::
Block No.
Setbacks. Front
Back: S —
Right side: " Left tide: l J -
DETAILED DESCRIPTION OF WORK:'
Construction for new .Single Family Residence
CONSTRUCTION. IN FORMATION
i Iona wor to
orme . un er is permiE - check a,
RIK C Pip Y:
Gas Tank. ❑Gas Piping _ Siiuttecs: : " -
�/ ✓ Wi ows/Doors
ZEleciric_ . O Plumbing: nd
. C]S rinklers p Genera
Roof:.
Total 5q. Ft of Construction: "7" (/ p t
� Roof !
S Ft' of First Floor: COSt.Of Construction: $ j
.... - /. ' Ut s: ✓ Sewer ;
iltie
:OWNER/LESSEE
. Septic Building
CONTRACTOR
Name D.R. Horton` . .....
Address1430 Culver Drive NE, .
Name: Brian W..uavidson
City: Palm Bay Company: D.R. Horton
State: FL Addre ss: 1430 Culver bdve NE.
F'
Zi Code:. 32907 Fax: 321-733-7092 Palm Ba
Phone ;No: 321-733-2111
City: Y...: F
Zi Code: 32907 State.
L
Melboume "ermitting@DRHorton.coni p ax•. 321-733-7092
E-Mail: p • . F
No 321 733 2111
Phone -
FIII in.feesimpleTitle Holder on next page (if different Melbourne ermittiri DRHortori:com
from the Owner listed above) :. E-Mail: p . g@
State or County.Ui erase: CRC1327068.
If value of can is $2500 or more; a RECORDED Notice of Commencement is required.. . -
SURPLEMENTAL CONSTRUCTION LiEN LAIN INFCiRMATION.
DESIGNS ENGINEER
Name ..ne 6631in Inc.-- N°t APPhcable MORTGAGE COMPANY:
Address: 1441 N. Ronald Reap
an alvd,. Name:
of -- N •Applicable.
City: '[on"Oftod
Address: '
71 a27so State: Ft.
p Phone: 4m=a4-ome . — City;
Zrp: �� Phone:
FEE SiMPLE TITLE HOLDER:
Not A •
tate.�
Name: — PPlicable BON,ING COMPANY
.Address:
Names --
No
. t Applicable:.
-City: .. ... ..
;Address:
'
Zip. 7.
--_ Phone::.. :City:
Ztp: - Phone:
I certify that no'work or installation has.commenced prior to the. issuance of a permit..
w Lucie County makes no representation that is.granting a permit will authorize the permlt
which re. conflict with:any applicable Home Owners Assoetat n rules, bylaws: 0r. a
structure. Please consult with your Home Owners Assoclation and review your deed f covenants r
holder to build the subject structure. ,
nd covenan restrictions
t niwhich may or prohlbisuch
Inconsideration of the granting of this requested permit, I ddhereb a ree that I will, to all, respects, perform
In accordance wlth.the approved plans; the: Florida Building Codes and_St. Lucie Count yes ons which may app y;
The. following stctureln ' ermit applications are exempt from, undergoing a full:concurrenAmendments. , the work
g P:
accessory structures; swimming pools, fences, walls .sl ns screen rooms and -accessory uses to another '
WARNING TO OWNER: Your failure.to Record a Notice of Coalmen cs review: room.addltions,
improvements .to .your prope non=residential use
Property. A Notice of Commencement rhus be recorded and posted on the Jobsite
before the first inspection. If you intend to'obtain Briancing, consult' e r lender or an a B eviflce for
commencln work or rec ' din our Notice of Commencement.:..
homey before
Signature of Owner/Lessee/Contractor as Agent for Owner
Si nature of. onHolder,
tractOr/License STATE OF FLORIDA. s
COUNTY OFerevan; STATE OF FLORIDA
:COUNTY OFe,
The, for oing instrument was acknowledged before -me' The forgoing;Instrumentwas acknowledged.
this:
day of June . , .::. 20 17 bbefore. me
-- Y this 7 day of, June
20 1.7 by
(Name of person.acknowledging ).osLo—
(Name of person acknowledging)
(Signature;o otary pubbc State of Florida )
(Signature of Notary -Public -State ofFlorida.)
Personally Known V(N OR Produced Identification
Type of Identification -Produced
ersonally Known "Z�/'-
Type ofIdentification tl a roduced Identification
Commission No.
e
"' p FYPp otaryPublfcrSlata.of Fi ARM sici No: - -
: Sandra Leone :: � T aljuoterypublic State of da
F
q 261 Sandra-LeonB
Revbed07/1V2014 ?9FFel. Expires
. ca My Commission GG 02 1
P �.
phes�Dt31?HyZptg
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