HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
eaunirr
h iL, 7U ,R tl
Permit Number: ` 1 O — 1$O
Building Permit Application W 3 i 20V
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 8456 Cobblestone DRY IA
Legal Description: Creekside
PERMITTING
St. Lucie County, FL
Commercial Residential X
Property Tax ID M .2326-600-0126-000-8
Lot No. 121
Site Plan Name:
Project Name:
Creekside Block No.
n
Front a` Back: ;54- 1 Right Side: 3 Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence EXPRESS 40'
jibL`1
CONSTRUCTION INFORMATION:
Additional wor to orme un er is permit —check a app y:
RHVAC Gas Tank ❑Gas Piping _ Shutters 1( Windows Door / s
Z✓ Electric Plumbing Sprinklers Generator4�Roof
Ft of Construction:
Cost of Construction: $ � p��_
OWNER/LESSEE:
Name D.R. Horton
Address:1430 Culver Drive NE
Roof pitch
S Ft. of First Floor: ) f< ks
Utilities:✓ Sewer 05eptic Building Height: 2 —
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 IN different
from the Owner listed above)
If value of construction is
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: Melboumeperrnitting@DRHorton.com
State or County License: CRC1327068
or more, a RECORDED Notice of Commencement is required.
NSTRUC?ION�'LIEN°LA
Name: As oaslgn Group Inc.
Address: 1441 N. Ronald Reagan Wnt
City: Longwood State:
Zip: 3zrs�_ Phone: 4o7-aaso,a
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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 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
commencn work or recording our Notice of Commencement.
Signature of Owner/Lessee Contractor as Agent for Owner
SInat:.r� of ontractor/License H�IdP� s
STATE OF FLORIDA
COUNTY OFenmd
The forgoing instrument was acknowledged before me
this 25 day of October 20 17 by
(Name of person acknowledging )
(Signature o otaryyPuublic- State of Florida)
Personally Known V\ OR Produced Identification
Type of Identification Produced
Commission No.
o- f ar ¢ --Notary Public State or
r Lgoc. Sandra Leone
Revised 07/15/2014
REVIEWS I FRONT I ZONING
COUNTER REVIEW
INITIALS
Expires 08110/2020
STATE OF FLORIDA
COUNTY OFsm,.am
The forgoing Instrume t was acknowledged before me
this 25 day of October
20 17 by
`
�}
\. .
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known �— OR Produced Identification
Type of Identification Produced
w_r.-Aft
SUPERVISOR I PLANS
REVIEW REVIEW
.. r r � T T T V T
No. oysral�lotery Public State of
a Sandra Leone
My Commission GG 0
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW