HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number: �� �� _ oLf7!a
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
DEC,19 2017
Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCA ION:
Address: Cobblestone DR �� C u
Legal Descripti
on: l
Property Tax D #:. 2326-600- COL I . 000 — 5
Lot No.
Site Plan Name: Creekside .
Block No.
Project Name: r
Setbacks Front Back: Right Side: { ` Left Side: '
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence (k� ZW 5 Left.
CONSTRUCTION INFORMATION:
i Iona wor o orme un er t is permit
1 HVAC Gas Tank :]Gas Piping _Shutters
Windows/Doors
Z Electric 0 Plumbing Sprinklers 1:1 Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
i
Cost of Construction:':._ �i ��_ Utilities: Sewer IJSePtic euildingHeight:
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 FL
Phone No. 321-733-2111 State:
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: Meiboumepermitting@DRHorton.com
from the Owner listed above) State or County License: CRC1327068
If value of construction Ls $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ice_.------
dme: Design Group Inc.
Address: 1441 N. Ronald Reagan Blvd,
City: Longwood State: FL
32750 Phone: 4or-44-so7a
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
ZIP: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: �^ Phone:
BONDING COMPANY: Name: _Not Applicable
Address.
City'
ZIP: Phone -
I certify that no work or installation has commenced prior to the issuance of a permit.
w 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 oran 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 hPfnro
comma work or recording your Notice of Coa�,g:�
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF era.md
The forgoing instrument as acknowledged before me
this 14 day of Decem�iier 20 17 by
Law -
(Name of person acknowledging )
(Signature Zootary Publstate tate of Florida
V)
Personally Known \ OR PProducedIdentification
Type of Identification Produced
Commission No. fi`L+�MR.PPSPi/`
`,ass. °oy� `"Notary Public State of
a 4 ; Sandra Leone
Revised 07/15/2014
REVIEWSFRONT I ZONING
COUNTER I REVIEW
INITIALS
Expires 0811C12020
1
L/
Si nature �of ontractor/License Holder S
STATE OF FLORIDA
COUNTY OF a—.d
The forgoing instrument was acknowledged before me
this 14 day of December
dmdp,�,-
zo 1Z— by
4e d x-p_
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known � OR Produced Identification
Type of identification Produced
SUPERVISOR I PLANS
REVIEW REVIEW
No.
=a3�'ral�lotary Public State of
Sandra Leone
?," = o M7 Commission GG o
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW