HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. .. ..... ..
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ALL APPLICABLEINFO MUST BE COMPLETED FOR •PLICATION TO BE.ACCEpT.ED
Date:
Permit Number: 70
P(OV3
�IVD
..Building. Pe'rmit.Application.
Planning and Development Services MAY 2 3 '2017
Building and. Code Regulation Division
2399 Virginia Avenue, Fort Pierce: FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578. COrhmercial -Residential X
PERMIT APPLICATION -FOR: 9
Buildin
PROPOSEO:IJVIPROVEMENT LOCATION_:
:.Address:
8461 Cobblestone DR
7.
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT 81 (OR 392:1-2362)
Property Tax ID #: 2326-600.-0086-000-5
Lot No. 81
Site Plan Name:
Project Name: Creekside �� v
Bock No.
Setbacks_ .Front Back: 2 :Right Side: 12,75 :Left Side: 12,75
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence ..
aItIOTRUCTION: IN FORMATION
:
ona wor to. (e�e orme un ec ; is permit — c ec a ' app y:
�✓ HVAC LJ Gas Tank Gas Pipin
❑ Ping; _ Shutters Q Windows/Doors
❑✓` Electric ❑✓ Plumbing Sprinklers 0 Generator g Roof Roof pitch
Total Sq. Ft of Construction: S :.Ft. of First Floor: ....��Z
Cost of Construction: $ 200,000 Utilities: Sewer -
Cost Building Height:
OWNERAESSEE:.
CONTRACTOR.:
Name , Hijrton
Address:1430 Culver Drive NE
City: Palm Bay.. FL
:State:
32907
Zip Code:: Fax: 321-733-7092
Phone No. 321-733-2111 .. .. .
E-Mail: Melboutnepermitting@DRHorton.corn
Fill in fee simple Title Holder on next page (if differs_ nt
from the Owner listed above)
If value cf construetfori.ls $2500 or more, a RECORDED Notice ,of
Name: Bryan. W; Davidson
Company: MR: Horton
Address: 1430 Culver Drive -NE
city: Palm Bay: Y: State: FL
Zip.Code: 32907 Fax: 321-733-7.092 .. .
Phone No. 321-733-2111 ..
E-Mail: Melboumepermitting@DRHorton:com
State.or County License: CRC1327.068
)mmencement Is required:
SUPPLEMENTAL CONSTRUCTION LIEN LAW,IIVFORMATION:
DESIGNER/ENGINEER: 7 ` Not Applicable
Name:'AB Design Group Inc. MORTGAGE COMPANY: bl
Not Applicable
Address: 1441 N.:Rnnald Reagan Blvd. Name: .. ... .
'City: Longwood. Address:
State: FL'
Zip: 32750
Phone:. 40r-4"078 a
te:
City:
Zip: Phone:
St FEE SIMPLE T
Name: ITLEHOLDER: _ Nbt Applicable BONDING COMPANY:
_Nbt is
Address:
Name:: APPI able..
City: Address: .
Zip: Phone:
�.
,ty::.
Zip. Phone:
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, y d
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
bylaws
or an covenants that may restrict or prohibit.such
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 th.e approved plans, :the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full coneurrency 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
Comm mcin work or recordin our Notice of Commencement. .
Signature of owner/Lessee/Contractor as Agent for Owner• '
Signature of Contractor/Lici sense Holder. '
STATE OF FLORIDA
COUNTY OFerevard• STATE OF FLORIDA
COUNTY OF a --
The forgoing instrument was acknowledged before me. The forgoing. in strum ent was acknowledged before me
this 17 .dayof_ May 20 17by this 17.
day of May 20 17. by
Sail&a Leoire LeNle
r (Name'of person acknowledging)
(Na a of person:acknowledging )
( ignature of Notary Public- State of Florida)(Si na Notary Public- ^
State of Florida )
Personally Known X. OR Produced Identification Personally Known X OR Produced Identification
Type of Identification Produced
Type of Identification Produced
Commission No. yPe SB deom ission No. I,- State of Florida
pu (
� ,�I)tery Public State of Flo i y po Sa
Sandra Leone ° 11r1ra
?
a M Commission GG 020 1 ;�� One 020251
• a My Commission GG
or F�°e Exp res y 0811012020
Revised 67/15/2014 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROV
COUNTER REVI REVIEW. REVIEW REVIEW E
DATE REVIEW REVIEW
.COMPLETE
INITIALS