HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �f /
Permit Number: �� f�7 /
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Planning and Development Services Building Permit Application DEC 18 2917
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENTLOCATION:
Address: 2, Cobblestone DR r�-
Q r
Legal Description:
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Property Tax ID #: 2326-600- r O 7n —
(o Lot No
Site Plan Name: Creekside.
Block
Project Name:
No.
Setbacks Fron Back: Right Slde: Left Side:_
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
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3 1294
CONSTRUCTION INFORMATION:
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Additional wor to a orme un er t is permit — c ec a app y:
0HVAC Gas Tank ❑Gas
Piping
�✓ Electric Plumbing Sprinklers
_ Shutters Windows/Doors
Total Sq. Ft of construction:
Generator Roof Roof pitch
Cost of of Construction: goUtilities:
S . Ft, of First Floor:
� Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name D.R. Horton
Address:1430 Culver Drive NE
City:'Palm Bay FL
State: _
Zip Code: 32907 Fax: 321-733-7092
Phone No, 321-733-2111
E-Mail: Melboumepermitting@DRHorton.Com
Fill in fee simple Title Holder an next page ( If different
from the Owner listed above)
Name: Brian W. Davidson
Company: D.R. Horton
Address: 1430 Culver Drive NE
city: Palm Bay FL
State:_
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 Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
INFORMATION:
DESIG�ER�ENUIINCICK: Not Applicable
Name:gn Group Inc.
MORTGAGE COMPANY:
Applicable
Address: 1441 N. Ronald Reagan Blvd.
_Not
Name:
City: Longwood
Zip:32750 State: FL
Phone: 407-44.g07a
Address:
City
_`
State:
Zip:,� Phone:
FEE SIMPLE TITLEHOLDER: 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 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 attornev befnra
co ill ill ns work or recording your Notice of Cn------•-'__�
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFB,a,a,d
The forgoing instrument as acknowledged before me
this 14 day of Decern er 20 17 by
(Name of person acknowledging )
I
(Signature o otaryPublic-State of Florida )
Personally Known a OR Produced Identification
Type of Identification Produced
Commission No. fi``."�PY
,eta" "J Rotary Public State of
e Ls># : Sandra Leone
Revised 07/15/2014
REVIEWS FRONT ZONING
I
COUNTER REVIEW
INITIALS
Expires 0e/10/2020
Si nature of ontractor/License Holder S
STATE OF FLORIDA
COUNTY OF a—nd
The forgoing instrument was acknowledged before me
this 14 day of December
C r 20 1Z by
V m do,u- 1e o A-e-
(Name of person acknowledging )
(Signature of Notary Public- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
ra n.n.s -
SUPERVISOR I PLANS
REVIEW REVIEW
' Y YZl'
0. ;!}votaryPublic State of
Sandra Leone
�. oa My Commission GG 0',
VEGETATION 15EATURTLE I MANGROVE
REVIEW I REVIEW REVIEW