HomeMy WebLinkAboutBuilding Permit Application5
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CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Applicatio RECEI'V'ED
d Development Services
d Code Regulation Division N O V 0 6 2017
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PAknMing-pep-artment
PERMIT APPLICATION FOR: Building St. Lacie Cor
11
PROPOSED IMPROVEMENT LOCATION:
1 Address: 8521 Cobblestone DR tom^
Legal Description:
Property Tax ID #: 2326-600-0091-000-3
Site Plan Name:
Project Name: Creeksideil
Setbacks Front 7 Back: Right Side . �'3 Left Side: 2
7� .77,
DETAILED DESCRIPTIdK OF WORK: -
Construction for new Single Family Residence ELLE 2807 Express 40'
CONSTRUCTION INFORMATION:
••��.� n�Ncnnn—C(7eCKall
OHVAC Gas Tank []Gas Piping
Z✓ Electric 17 Plumbing ZSprinkl
Total Sq. Ft of Construction: 3 S . Ft.
Cost of Construction: $ 2-ft$WD , &(19 "i j o Utilities:
RI
OWNER/LESSEE:
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 Title Holder on next page (if different
from the Owner listed above)
If value of construction is
Lot No. 86
Block No.
rr•�
_ Shutters Windows/Doors
Generator Roof Roof pitch
of First Floor:
Sewer Septic Building Height
CONTRACTOR:
Name: Brian W. Davidson
Company: 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
State or County License: CRC1327068
or more, a RECORDED Notice of Commencement is required. 3
3
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATI N:
-•=- -- -
——•�+���"I cr��7rIYCCPi: — Not Applicable
Name: AB Design Group Inc.
Address: 1441 N. Ronald Roagan SIM
City: Longwood State:
Zip: az�s— °Phone: aa�-44-slue FL
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: ____Phone:
Name: St Lucie Couv, FLNNr�
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 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, 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
commencin work or recordin our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
Si nature of ontractor/License Holder s
STATE OF FLORIDA
COUNTY OFBrevard
The forgoing Instrument was acknowledged before me
this 25 day of October 20 17 by
(Name of person acknowledging)
(Signature o otaryYP(ublic- State of Florida )
Personally Known V \ OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
o- °ae
: Notary Public State of
Lig Sandra Leone
Expires 08/10/2020
STATE OF FLORIDA
COUNTY OF Bmoar<,
The forgoing Instrume t was acknowledged before me
this 25 day of Octo�er 17
20 _ by
d'xdP,z,- /-e d x-c
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
ft AL ALA
REVIEWS FRONT ZONING SUP RVISOR PLANS
COUNTER REVIEW R VIEW REVIEW
DATE
COMPLETE I
INITIALS
No. r ..� s, T -� T ,>-.r
ovR�alrlotery Public Stete of
? b Sandra Leone
My Commission GG a
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW