HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
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Date: Permit Number: I a'
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BuildingP91t Application DEC1 S � ,.
Pp 10�7
Planning and Development Services
.Building and Code Regulation Division PERtlfil•i-TING
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
Address: 10 Cobblestone urc N71-k-
Legal Description:
Property Tax ID #: 2326-600- O I1 _ 000 _ O
_ Lot No.
Site Plan Name: Cree ide Block No.
Project Name: / h
Setbacks Fro Back: Right Side: -7 Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
CONSTRUCTION INFORMATION: v 4
Additional workto a orme under this permit— check a apply:
0✓ HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
ZElectricPlumbingSprinklers [Generator r. Roof Roof pitch
Total Sq. Ft of Construction: ,/4i _ S . Ft. of First Floor:
Cost of Construction: $' , " �y- Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name D.R. Horton
Name: Brian W. Davidson
Address: 1430 Culver Drive NE
company: D.R. Horton
City: Palm Bay State:FL
Address: 1430 Culver Drive NE
Zip Code: 32907 Fax: 321-733-7092
City: Palm Bay State: FL
Phone No. 321-733-2111
Zip Code: 32907 Fax: 321-733-7092
E-Mail: Melboumepermitting@DRHorton.com
Phone No. 321-733-2111
Fill in fee simple Title Holder on next page ( If different
E-Mail: Melboumepermitting@DRHorton.00m
from the Owner listed above)
State or County License: CRC1327068
II .a.Y� YI VYIq{I Y�{IVII M 9JwY YI IIWIC, d nnwnucu r.oace or wmmencemenz is requirea.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/EPJGINEER: Not Applicable
_
Name: As CedignGmup inc.
MORTGAGE COMPANY: Not Applicable
Address: 1441 N. Rena(d Reagan Blvd,
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Name:
City: Longwcad State:
Zip: azrs�_ Phone: aor�4 saga
Address:
City:
Zip: __ Phone: State:
FEES VIFLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Address:
_,Not Applicable
Name:
City:
Address:
Zip: Phone•
City:
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, 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 attornev hF+fnro
commencing work or recording your Notice of Co
rit.4rr�v6.3rr,s.
Signature of Owner/Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OFa,a»,d
The forgoing instrument as acknowledged before me
this 14 day of Decern er 20 17 by
AAA
Lew
(Name of person acknowledging )
(Signature of otary/Puublic- State of Florida )
Personally Known V \ OR Produced Identification
Type of Identification Produced
Commission No. fifiit-.��5!
ol" 0-4 --Molar/ Public Sate o;
? ka `: Sandra Leone
Revised07/15/2QL4 �0;VJ1 ExpifesGei1G2020
_ A_ i 1 1. b i 1 J 1_-- l
Si inature o4ontraHo—r/�LicenseH'older
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STATE OF FLORIDA
COUNTY OF sm,,,,
The forgoing instrument was acknowledged before me
this 1_ day of December 20 17 by
d.���
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known — OR Produced Identification
Type of Identification Produced
REVIEWS FRONT ZONING 4 SUPERVISOR 1 PLANS
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COUNTER REVIEW I REVIEW J REVIEW
INITIALS
r -� Y-1-Y+
N0. alllvotery Public utate of
Sardra Leone
bty Commission GG 0
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW