HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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Permit Number: �11a R
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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 IMPROVEMENT LOCATION:
Cobblestone DR
Legal Description:
.. DEC 18 2017
. �!i-iiv7f-fTING
St. Lucie County, FL
Commercial Residential X
Property Tax ID #: 2326-600- OpZO — OCX�)_jS
Lot No. —15—_
Site Plan Name: Creekside
Project Name: Block No.
11114 it!
13
Setbacks Front ` Back: Right Slde: Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new ingle Family Residence
i/
I CONSTRUCTION INFORMATION:
a---------•----- uuum uo �FUllillt—cnecKan apply: -
✓ HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
141ilectric 0 Plumbing nSprin s Generator 0 Roof Roof pitch
Total Sq. Ft of Construction: �Z
Cost of Construction: $'
/gig;=-
OWNER/LESSEE:
S . Ft, of First Floor:
Utllities:C2Sewer aseptic Building Height:
IIName D.R. Horton
Address:1430 Culver Drive NE
City: Palm Bay State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No, 321-733-2111
E-Mail: Melboumepermitting@DRHorton.com
Fill in fee simple Title Holder an next page ( If different
from the Owner listed above)
CONTRACTOR:
Name: Brian W. Davidson
Company: U.R. Horton
Address: 1430 Culver Drive NE
City:Palm Bay
State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: Melboumepennitting@DRHorton.com
State or County License: CRC1327068
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
"•%JJJe«R: — Not Applicable
Name: ABoealgn Gmup Ina.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State: FL
Zip: 32750 Phone: 407-41-6078
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
ZIP: ___ Phone:
MORTGAGE COMPANY: Not Applicable
Name.:
Address:
City: State:
ZIP: _. Phone:
Not Applicable BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
' Not Applicable
certify that n�yo( work or installation has commenced prior to the issuance of a permit.
St.
Is in COI' Ictawith any applicablelHothat wners Associatl n rules, authorize
ylaws or and covenants that build
drestrict or prohibit such
structure. Please consult with your Nome 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
commencine work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner , signature of Contractor/License Hnirlar S
STATE OF FLORIDA
COUNTY OF Brava,d
The forgoing instrument as acknowledged before me
this 14 day of Decem�er 20 17 by
—
(Name of person acknowledging)
I 1-1
(Signature o otary/Pub lic- State of Florida )
Personally Known L/( OR Produced Identification
Type of Identification Produced
Commission No. ,s_t1
"os(^ea otary Public State of FI
G Sandra Leone
r
Revised07/15/2014 z'i`O� lExpi;e=oene/2o2oa y
REVIEWS FRONT I ZONING
COUNTER REVIEW
INITIALS
STATE OF FLORIDA
COUNTY OF ara,,,d
The forgoing instrument was acknowledged before me
this 4 day of December 20 17_ by
d, dI, 4e 0 P-C
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known �- OR Produced Identification
Type of Identification Produced
ion No. 'r'r'�'w"'"'
-----'�--. �j'-4al;otary Public State of
Sandra Leone
_oQ My Commission GG 0',
SUPERVISOR I PLANS VEGETATION I SEA TURTLE I
MANGROVE
R VIEW REVIEW REVIEW REVIEW REVIEW
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