HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: (3 GGS
Building Permit Application
Planning and Development Services .'r OE2 701
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 P �r
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residetltial X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address Cobblestone DR
Legal Description:
Property Tax ID #: 2326-600-wC�)_
Site Plan Name: Creekside
Project Name: L/
Setbacks Fr on v Back: _ S
Right Side: 1 J' ` Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: t \ / 1 I
Construction for new Single Family Residence �r< _ Ap7a
2—io� 2
CONSTRUCTION INFORMATION:
t iona wor to a Formed under this permit — CheCK all apply:
0HVAC UGas Tank ❑Gas Piping OGenerator
Shutters Windows/Doors
ZElectric 0Plumbing RJ prin rs Roof Roof pitch
Total Sq. Ft of Construction: S . L. of First Floor:
Cost of of Construction: $ ; `a- 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
Address: 1430 Culver Drive NE
City: Palm Bay State: FL
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 on next page ( If different
E-Mail: Melboumepermitting@DRHadon.com
State or County License: CRC1327068
from the Owner listed above)
n .a.M% vwaav uuwn ws .74-w ®r more, a nc—nutu n1auce at ommencement is regUired.
e
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
"'%'°'H`=n; — Not Applicable
Name: A6 Design Gmup lnc.
Address: 1441 N. Ranald Rsagan atvd.
City: Longwcad State: FL
Zip: 32750 Phone: 407-U407a
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address.
City:
Zip: — Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
ZIP: 1_ Phone:
"Not Applicable
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 befrim
commencing work or recording your Noticin of
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORMA
COUNTY OFera,aid
The forgoing instrument as acknowledged before me
this 14 day of Decem�er 20 17 by
�-% i✓- Law
(Name of person 'acknowledging)
(Signature of otaryy�Pyyublic- State of Florida )
Personally Known V\ OR Produced Identification
Type of Identification Produced
Commission No.'.r.�'�t
-Notary Public State oP
e~ Sandra Leone
Revised 07/15/2014 ? �°° - - n Ex.' . 1 .oiaozo
Si nature �ofo,�tractor/L�licenseolder S
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this 14 day of December
dm'L/"~
zo 7Z by
- /'- o x.2
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known — OR produced Identification
Type of IdentiFcation Produced
REVIEWS IFRONT I ZONING SUPERVISOR I PLANS
ATF COUNTER I REVJEV� REVIEW REVIEW
INITIALS
No. =oSgal�,otary Publio State of
Sandra Leone
a, =� _o' My Commission GG 0'
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW