HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�;COC �NTY
•K T.
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number. ! ! d qw
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
Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCAT ON:
Ar1.4rACCJPUkff Cobblestone DR ^ Z.0 a`U 1-%Xt Ilif to
Legal Description:
Property Tax ID #:. 2326-600- Epp— a— Lot No.1013_
Site Plan Name: Creekside Block No.
Project Name:
Setbacks Fro Back - Right Side.- - Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new ,Sin le Family Residence
R
I CONSTRUCTION INFORMATION: C/ U I
nuuniviiai wvi n w uc 1 wnncu unaer uos Permit— CneCK all apply:
0✓ HVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
O✓ Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor: 9/fi
Cost of Construction: $ 3�v ' �— Utilities: _ � Sewer Septic ' Building Height:
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 State: FL
Phone No. 321-733-2111
Zip Code: 32907 Fax: 321-733-7092
E-Mail: Melboumepermitting@DRHorton.com
Phone No. 321-733-2111
Fill in fee simple Title Holder an next page ( If different
E-Mail: MelboumeperrnitGng@DRHorton.com
from the Owner listed above)
State or County License: CRC1327068
W �ulla%w u%,% Wl, u q&JWU OF mere, a ncwnucu mute or Lommencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: AB Oesign Group Inc.
Address: 1441 N. Ronald Reagan alvd.
City: Langxrocd State: FL
Zip: 32780 Phone: 40744.g078
FEE SIMPLE TITLE HOLDER: Name: Not Applicable
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 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 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 attornev he
commencing commencing work or recording your Notice of Co
Signatu�OfOw-�,rAesse�elContra�ctoras Agent for Owner
STATE OF FLORIDA
COUNTY OF Braaa,d
The forgoing instrument was acknowledged before me
this 14 day of December 20 17 by
�A660L L&W -
(Name of person acknowledging )
(Signature o otaryP�(ublic- State of Florida)
Personally Known L//\ OR Produced Identification
Type of Identification Produced
Commission No.
otPcr °vyr "'�jotary Public State of
= t,t Sandra Leone
Op�6':p Expires 0V1C/2020
Revised 07/15/2014?
rt�
Si nature �ofontractor/License Holder 5
STATE OF FLORIDA
COUNTY OF ermard
The
forgoing instrument was acknowledged before me
this 14 day of December 20 17 by
va�fdp�L- 1-eo0_.P_
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known �_/— OR Produced Identification
Type of Identification Produced
-
REVIEWS FRONT ZONING I SUPERVISOR PLANS
COUNTER . REVIEW REVIEW REVIEW
ATF
INITIALS
No. : •Trrvb-
=oS"T �alrfotary Public Slate of
Sandra Leone
�;_ > cQ My Commission GG 0
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW