HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL'APPLICABLE IN MUST BE COMPLETED FOR APPLICATION TO BE:ACGEPTED
Date: . • ..:... .
RECEII _D JUN 0-9 2O�i::
Permit Number:: i 1 -•day-o:.
. _ .
-. mit A ...
Suildin Per :
Planning and Deve/o mentServlces hhIlCBtIon
P.
Building and Code Regulation Midslan
2300 Virginia Avenue, Fort Pierce FL 34982, .
Phone: (772) 4624553 Fax: (772) 462-1578 COMITIO WI
. Residen
PERMIT APPLICATION FOR:
Buildin
'PROPOSED IMPROVEMENT.LOCATION::
8516Cobblestone DR .Address: � ' �....... .. ,
:Legal Description: Creekside PIat.Kin 1 Lot 105
Rtoperty Tax ID #t: _ 2326-600-0110-000-3
Site Plan Name:.. ...
' • •'
- ;Lot No. 105:
Project Name::: :.
��.. •.�3 Block
Setbacks . Front ��/'
... .. ...
:. _.—: Back
fight Side: 2. % 3 , —ram �
�_ Left Side:
DETAILEDOESCWIPTI.ON OR.WORK::'
Construction for new Single Family Residence
Z.
CONSTWCTION. IN FORMATI ON: .
i Iona wor to - orme un er is, permit — c ec ka _ '
0HVAG
aPP Y
-- Gas Tank: ❑Gas Pi ;in
r1 P : _Shutters: a Windows/Doors
I Electric ✓ Piumbin
I; . Sprinklers
Generator ✓ .Roo
f
0.�`Cc� .: ten
Total Consiw -_•ion; � .
-
S :'Ft: of First Floor:
Roof pitch
Cos# o construction:
Ud ities: RjSewer
OWNER/LESSEE Sept c
i i Bull dng Height:
CONTRi4CfOR.-
Name D.R. Horton
3 Address::1430 Culver Drive Name: Brian W..Davidson
NE.: _ . .
City: Palm Bay Company: D.R. Horton
Zip -Code: 32907
-State: FL Address: 1430 Culver Drive NE
Fax: 321=733-7092 Palm ea
Phone No: 321-733-2111.'state-FL
City: y..:
Zip Code: 32907 : ' -
,E-Mail: Melboumeperm(tting@DRHorton.coni'
Fax: 321-733-7092
Phone. No. 321-733 2111 .
FIII in.fee simple Title Holder on next page (If different E-Ma" ll: Mslboumepemiitting@DRHorton:corri
from the:ONrner listed above)
State or County License: CRC1327068 .:. .
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
CPC c 5���
RECEIti �D 1U.N �'2912
... .. -
SURPL_EMENTAL CONSTRUCTION LIEN
AAW jNFORMATION: DESIGNE ENGINEER: ;
Not Applicable "
Name:'AB 6831 rt Group Inc, MORTGAGE COMPANY:
Address. +aai R
N.-Ronsm oapan Slvii: Name: Not Applicable.
.City: tcngwOod • . Address:
azrso ' Phone: ao�.,ams.. a —
.St t@::FL
`.� . ...
City: Zip:State:�
. ,.
FEE SIMPLE TITLE.HOLDERa �- CO ---- Phone:
Name: Not Applicable gO
NDING MPANY:
Adtlress:. Name:..: . .::.
Not Applicable:.
City: : .. Address:
Zip: '.:.
—�_ Phone:... :.:
ZIP• - Phone:
I certify th:at'no work or install ation:has-commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is. granting a permit will out( Pori
the permit h
which is in conflict with:any applicable Home Owners Association rules, b (aws'or
structure. Please consult with your Home Owners Association and review your deed Scov y ants t at
V anfor an re is that build
op prohibit such
In consideration of thegranting of this relauesfed permit, I do hereby •• agree that I will, in all. respects, perform t
In accordance with :the approved plans; the Florida 8uliding Codes arrd,St. Lucie County: Amendments, ions which may apply:
V B
The follow)ng building permit applications are exempt from undergoing a full concurre he work
accessary structures, swim niin'
g pools, fences, walls, signs. screen rooms and. concuccelso ncy review: room additions,
WARNING TO OWNER: Your failure_to Record a Notice of Commencement ma
ry uses to another non-residential use; improvements to your prope y result in your paying twice for
before the first inspection., if you intend to obtain:financing, consult withrecorded
i'ty. A:Notice of Commencement must.be recorded and posted on the jobsite
commencin ' work or recordin our Notice of Commencement.
lender or an attorney before
Signature of OwnerJLessee/Contractor as Agent for Owner
Signature of out actor/License Holder. - s
STATE OF FLORIDA.
COUNTY OF a mid STATE OF FLORIDA
COUNTY OF a.
The rg cla instrument was acknowledged before -me The forgoing instrument was acknowledgedb
this: day of June .: 20 17 by
• ... this.,., 7 d ore me
ay of .June
20 17 before
eam
(Name of person d
acknowleging ).
,
v"L
(Name of person acknoedging)
.g)
(Signefure:0 otary public_ State of Florida )
/�( (Signature of Notary:Public-State of Florida:)
Personally Known V \: OliProduced ldentificati'
Type of identificition produced
Personal) Known �= .Y
TYPe of Identification_ Produ. . .
duced Identification_
•
Commission No.
olary Public Staie. oi FI rGgm sio . . o:. Y
Sandra Leone ao al]•lotary Public State of F tla
o�
2sl ands Leone
S
Revised' 07/15/2014 expUes oen ol2ozo : _ My Cotnmisslon PG 02 1
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