HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application
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 IMPROVEMENTLOCATION:
Address:gq2l Cobblestone DR rl
Legal Description:
Property Tax ID #:. 2326-600-
Site Plan Name: Creekide
Project Name:
Setbacks Front• W Back.
DETAILED DESCRIPTION OF WORK:
Commercial
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Right Side: /,tj• 91 Left Side:
Construction for new Single Family Residence Cali 1828 Left -1
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CONSTRUCTION INFORMATI
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DEC 18 2017
RBI iJ�FoXnty, FL
Lot No.
Block No.
���.. n Nci nni —Ule(A all appry:
O✓ HVAC Gas Tank ❑Gas Piping _ Shutters ✓
❑Windows/Doors
Z Electric 0 Plumbing Sprinklers Generator Z Roof Roof pitch
Total Sq. Ft of ConstructionS . Ft. of First Floor:
Cost of Construction:; � O Utilities:12SewernSe tic B 'Id" �_
OWNER/LESSEE:
Name D.R. Horton
Address:1430 Culver Drive NE
City: Palm Bay State:FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-21 11
E-Mail: Melboumepermitting@DRHorton.com
FIII in fee simple Tide Holder on next page ( if different
from the Owner listed above)
I-w ing Height:
CONTRACTOR:
Name: Brian W. Davidson
Company: D.R. Horton
Address: 1430 Culver Drive NE
City: Palm Bey State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: Melboumepermitting@DRHorton.com
State or County License: CRC1327068
If value of construction Lt $2500 or more, a RECORDED Notice of Commencement Is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION..
EER:
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Name: nB Design Group Inc.
Address: 1441 N. Ronald Reagan Blvd,
City: Longwood State: FL
Zip: 32750 Phone. 40rale078
FEE SIMPLE TITLE HOLDER: -__- Not Applicable
Name:
Address:
City:
ZIP: --- Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: --,.Phone:
BONDING COMPANY: _•Not Applicable
Name:
Address:
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 apermit 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
cOMmencI 19 work or recordin our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
Si nature �If�ontraci®r/License Holder S
STATE OF FLORIDA
COUNTY OF BI-,.,d
The forgoing instrument ` �as acknowledged before me
this 14 day of Decemer 20 17 by
(Name of person acknowledging)
(Signature o otaryPublic- State of Florida )
Personally Known 0( OR Produced Identification
Type of Identification Produced
Commission Na.
��Rea
Js� Diary Public State of FI
? �! Sandra Leone
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
INITIALS
Expires Ge/ , 0/2020
STATE OF FLORIDA
COUNTY OF 8--0
The forgoing instrument was acknowledged before me
this 14 day of December 20 17_ by
(Name of person acknowledging )
S (ignature of No Public- State of Florida )
Personally Known �— OR Produced Identification
Type of Identification Produced
SUPERVISOR PLANS
REVIEW REVIEW
TYEG
NO. �alhatary PublicSandra LeooQ My Commissi
VEGETATION SEA TURTLE I MANGROVE
REVIEWI REVIEW REVIEW