HomeMy WebLinkAboutBUILDING PERMIT APPLICATION'.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Perm' umber: _ �� �a - 4'I0
Building Permit Application 0
Planning and Development Services 01C 1 u 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResiderfflalFUo�e County, FL.
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
4ddress:Cobblestone DR -�
Legal Description:
Property Tax ID l#: 2326-600-COL6 — 000
Site Plan Name: Creekside
Project Name:
Setbacks Front Back: C5' Right Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
CONSTRUCTION INFORMATION:
Left Side: W- V f
Nc'iint—l:lltlGK all apply:
✓ HVAC Gas Tank ❑Gas Pining Shutt M
U✓ Electric 0 Plumbing �✓ Sprin
Total Sq. Ft of Construction: _ o3 (OZ
Cost of Construction::. LD
OWNER/LESSEE:
Lot No._L:J:
Block No.
ers WIndOW5/Doors
ers Generator 21 Roof Roof pitch
5 Ft. of First Floor: _La
Utilities:'2Sewer 0Septic Building Height: _L_
Name D.R. Horton
Address: 1430 Culver Drive NE
City: Palm Bay FL
State; _
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2 111
E-Mail: Melboumepermitting@DRHorton.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
Name: Brian W. Davidson
Company: 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: 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 t1EN LAW INFORMATION:
DESIGNER/ENGINEER; ___ Not Applicable
Name: As Design Group Inc.
_
MORTGAGE COMPANY: Not Applicab
Address: 1441 N. Ronald Reagan Blvd.
_ e!
Name.
City: Longwood
Address:
Zip: sz�s_ o Phone: 4074.1-637State: Fta
City: State:
Zip:
FEE FEE SIMPLE TITLE HOLDER: Not Applicable
Name: �"
i30NDING COMPANY:
Applicable
Address:
Name: _Not
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 antl 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 b f
com_rnencing work or recoour f rdin (Notice oC
ommencernpr,r a ore
Signature of Owner/lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OFsra,a,j
The forgoing instrument as acknowledged before me
this 14 day of December J 20 17 by
{Name of person acknowledging )
(Signature Ot Notary Public- State of Florida )
Personally Known 0( OR Produced Identification
Type of Identification Produced
Commission No.
t?¢r ufg--_Notary Public Si3te of
Saridra Leone
Revised 07/15/2014 � I"; -Oy , e:pa;e= rerEer -
Si nature of ontractor/License Holder 5
STATE OF FLORIDA
COUNTY OF s,-=
The forgoing instrument was acknowledged before me
this 14 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 I CO LATER REVIEWI ZONING J SREVREWOR PLANS
I
ATE I EVIEW
r
INITIALS
NO. �--- =o` nralr:ctary Public State of
Sarclra Leone
c` M7 Commission GG D
o; .� 1-esoarlvrzozo--
VEGETATION SE�TURTL�EM�ANGGROV�E
REVIEW