HomeMy WebLinkAboutBuilder Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO -BE ACCEPTED
Date: . /n
Permit Number:._170-SQV
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" Building Permit Application:
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Planning and Qeve/opment Services
Building and Code Regulation Division J U y
201T
23t10. Virginia Avenue, Fort Pterce FL 3498Z .
Phone: (772) 462=1553 Fax: (772) 402--1578 Commercial
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Reside i �
PERMIT APPLICATION FOR: —
Building:
PROPOSED_ IMPROVEMENTL00010N:
Address: 8508'C6bblestone DR
Legal Description: Creekside Plat.No.1 Lot 107
Property Tax ID #; . 2326-60070112-000-7
Lot No. 107
Site Plan Name: .
Project Name:,:. Block No..
Setbacks Front Back: � Right Side: _��' b
$ . � left Side: ��'
.. ..........
•DETAILED DESCRIPTION OF WORK::
Construction for new Single Family Residence, l.� �go4
CONSTRUCTION.
INFORMATION:.'
Mona worto: im
orme un er is; permit — c ec a . app
y�
ONVAG Gas Tank: ❑Gas Pi in .
P . g _ Shutters: 1 Windows/Doors
ZElectric.. � Piumbin
g aSprin lets Generator ZRoof Roof pit
ch
Total Sq. Ft of Construction: .�.
of Firs or
Cost of Construction: $ ��C7,i O�O
Utilities:t• t Floor Sewer I Septic Building:Heiglit: Z
OWNER/LESSEE::
ONTRACTOR:
Name D-R: Horton .....
Name: Brian W. Davidson
Address1430 Culver Drive NE.:.
.. Comp Horton
city.. Palm Bay, any: �D:R. ,
State: FL Address: 1430 Culver Drive NE
Zip Code; ... , - . Fax: 321-733-7092 City: Palm Bay
321-733-2111
Phone N_ o. � 32907 : - � State: F L
Melbourne Zip Code: Fax. 321-733-7092
E-Mail: permitting@DRHorton.corri F
Phone, No. 321-733-2111 .
Fill in.fee simple Title Holder on next page (if different E-Mail: Metboumepermitting@DRHorton.com
froin the Owner listed above)
State or County License: CRC1327068 .. .
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIENU41N INFORMATIO: DESIGNER -ENGINEER:
N
Not Applicable ..
Name: AB oeatgn Gmup Inc. MORTGAGE COMPANY:
Address: ieai W. Ronala'Reagaq at„ae: , Nam
Not Applicable,
City: iongwoad
Address:
ess::
City.:
"Z 327511 State: FL
p' Phone: 407.4"o7a i Sta t
-zip�one:
FEE SIMPLE TITLE HOLDER:
� P e:
...
Name: Not Applicable BONDING COMPANY:
Address:. Name:.... ---N
of Applicable
City: Address:
p:
Zi_ phone:. -- :city:
Zip:.:.. • ... .
hone:
I certify that no work or installatiori:has commenced prior to the. issuance of a permit.
St. Lucie County makes no representation that Is granting a ermit will authorize the permit holder
which is in conflict with ariy applicable Home Owners Association rules, bylaws: or he covenants structure. Please consult with your Home Owners Association artd review your deed f cover. any ants restrictions- which
venants that may restrict or prohibit such
In cctslderation of the granting of this eeouested permit, I do hereby agree that i will, in all respects, In accordance with.the approved plans; the Florida Bulldin Codes anti_St. Lucie county may apply:
The following building permit applications are exempt from. undergoing a fulcie cl, con ur p ems, perform the.work
ty Amendments.
accessory structures, swimming pools, fences, walls, signs; screen rooms and.accessory uses to another non=it i
ell review: room.aifditions,
WARNING TO OWNER: Your failure to'Record a Notice of Commencement may dential use
improvements to your property, A Notice of Commencement must be recorded and Your paying
twice for
cvmmebefore the flrst'inspection. if you intend to obtain:financing, consult with lender or an alto
ncin work or recordin our Notice of Commencement. p on the Jobstte
- attorney before
Signature of Owner/Lessee/Contractor as Agent for Owner
Si nature of ontractor/License Holder S
STATE OF FLORIDA
COUNTY OF erevuid STATE OF FLORIDA . -
COUNTY OFar,
The fo od3 instrument was acknowledged before me The forgoing instrument was acknowledged this. day of June...:. 20 17 b I dged. before me
— Y this..? day of June
1 7 by
Lem 20
(Name of person acknowledging ). Gf 41-£'vA .
(Name of person acknowledging)
(Signature o otary public- State of Florida )
(Signature of Not a_ y: Public- State of:Fldill
Personally known OR Produced Identification
Type of identlficatiori.Produced Personally Known OOR�PL
Type of Identirrcatton Produ d roduced Identification
Commission No.
ea •,.
otary Public State of FI rWM siori No. .. Y
Sandra Leone =oar alNctaryPubllc State of da
a
a� zst � Sandra Leone
. �,
Revised 07/iSh014 OF Expires oenoizozo My (9h1misslon GG 0 r
REVIEWS FRONT ZONING
000NTER REVIEW . SUPERVISOR PLANS VEGETATION SEA TURTLE
DATE RE IEW REVIEW REVIEW MANGROVEREVIEW COMPLETE. REVIEW
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