HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: :.
Permit Number;
o
- RECE14'!:_D JUN 0 91017
.Building Permit Application = Planning and Deveiopment Services
Building and Code Regulation Dfvislon
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462=1553 Fax: (772) 462-1578 Commercial
Residential X
PERMIT APPLICATION FOR:
Building
PROPOSED IMPROVEMENT LOCATION:
.Address:.
8465 Cobblestone DR .
Legal Description: Creekside Plat -No.1 Lot 82
Pro.e. Tax ID#l:
2326-600-0087-000-2
P rtY: ...
Site Plan Name: Lot No. 82
Project Name::. Z Block No.:
Setbacks Front Back:
Right Side: Left Side: —1—/
DETAILED -DESCRIPTION OF WORK:.
Cbnstruction for new Single Family Residence
&nI-
0
CO NSTR U CTLO N. I N FORMATION : .
0i Iona wor to' un er is permit — c ec a . e
HVAC PP Y
GasTank;
EasPiping
Electric Plumbing SprinklersEl
Shutters Windows/Doors
Total
Generator Roof. Roof
pitch
Sq. Ft of Construction:I y�C' Sri :'Ft: of First Floor:.
Cost of Corstruction: $
Militles: U.Septic
OWNERAESSEE .
ti Sewer Building Height: 721_
Name D.R. Horton
CONTRACTOR:
Address:1430 Culver Drive NE
Name: Brian W, Davidson
City: Palm Bay
tote: FL
Coma D:R. Horton
Company.
_
Zip Code: 32907 321-733-7092
Fax.:•
Address: 1430 Culver Drive NE .
Phone No. 321-733-2111
City: Palm Bay
State: FL
E-Mail: Melboumeperrrritting@DRHorton.corri
Zip Code: 32907 : . .
. Fax: 321-733-7092
F111.10. fee simple Title Holder on. next pag7 7e (if different
from the Owner listed above) :
Phone. N.o. 321-733-2111 .
E-Mail: Meiboumepermit{ing@DRHorton.com
State or County.License: CRC1327068
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required..
6 0 N0
• RECEIVED JUN?R17..
SUPPLEMENTAL CONSTRUCTION LIEN
LAW INFORMATION:.
--
DESIGNE ENGINEER:
Name: �Oeal rtGrouN''tApplicable
e p Inc,trt�MORTGAGE COMPANY:
Address: 144i N. Ro am Rea$a� Blvd. Name: _Not Applicable..
City: iongwood
Zip; 627so State: FL
Address:
Phone: 407-44-oo7a
Z. ;
Phone:
FEE SIMPLE TITLE.HOLDERa , Not Applicable
Name:
BONDING COMPANY:
Address: Name:... Not Applicable-'"
City
:
Address:
Zip:
Phone:-
-------.
.. ty
Zip:
Phone:
I certify that no'work or installation -has c
qMrrIenced prior to the issuance of a permit.
St. Lucie County makes no representation that is.granting a permit will authorize the permit holder
which -Is in conflict with any applicable Home Owners Association rules, bylaws'or. and covenants that ma
structure. Please consult with your Home Owners Association ion review your deed for any restrictions which may a
to build the subject structure
Iri consideration of•the granting of this tequested permit, I do:hereb agree that I will, in all res e Y restrict or prohibit such -
in accordance. with.the approved plans; the: Florida Building Cades arid. St. Lucie County Amendments. y apply.
The following building permit applications are exempt from•undergoing a full. concurrencv review:
perform the work .
accessory structures, swimming pools, fences, walls, signs, screen rooms and.aoncur acessory uses to another
WARNING TO OWNER: Your fallure to Record a Notice of Commencertten Y iew: roomnadditions,sici
improvements to your Property..:, non-residential use
before the first inspection.. If you intend to obtain financing, consult with (end suit In our payin A,Notice of Commencement must be recorded and -Posted onEthe jab5ite
cOr imencin work or recordin our Notice of Commencement.
lender or an attorney before
Signature of Owner/Lessee/Contractor as Agent for Owner
Si nature'of. STATE OF FLORIDA ontractor/License Holder 5
COUNTY OF era„ STATE OF FLORIDA
COUNTY OFa—
The foFoing instrument -was acknowledged before me The forgoing instrument was acknow
this. day of June, ... 20 17 by ledged, before. me
this..7 day of June
:. 17
20 --
by
(Name of person acknowledging). Gt ddG- 1-e0iu-
(Name of person acknowledging ).
(Signature o otary Public -State of Florida )
�( (Signature, of Notary Public -State ofi'loiida:)
Personally Known V \. OR Produced Identification
Type of Identification Produced Personafly Known
Type OR Pr
oduced Identification
of ldentiflcatlon Produced
Commission No.
o ar oe ry
_�_ � ola Public'State.of Ft r m Sion. No..... . Y.
Sandra Leone _ ro•*" aI)IMPry Public St
ata of F da
Revised 07/15/2014 2s1 d Sandra Leone
,?'ovFt� Expires � �. e
.. .. - - c My Commission GG 02 1
OF
REVIEWS FRONT ZONING
COUNTER REVIEW SUPERVISOR PLANS VEGETATION:
DATE . . _ RE IEW REVIEW REVIEW SEA TURTLE. MANGROVE
COMPLETE REVIEW REVIEW
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INITIALS
1.