HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
j Date: Permit Number:
RECEIVED
Building Permit Application MAY 3"0 2010
Planning and Development Services 1
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 1 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building r �-� P �` CJ 1.5-
PROPOSED IMPROVEMENT LOCATION: 1 T
Address: - Cobblestone DR
1 _
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT (OR 3921; 2362)
PropertyTax lD #: 2326-600-003b000-C
Site Plan Name:
Project Name: Creekside , f
Setbacks Front Back; '"� Right Side: '30 LeftSide:
DETAILED DESCRIPTION OF WORK: "1
Construction for new Single Family Residence
Lot No._,AI_
Block No.
CONSTRUCTION INFORMATION: v
Additional wor to orme un er is permit — check a app y;
Z✓ HVAC LlGas Tank FGas Piping Shutters Q Windows/Doors
_
Electric 0 Plumbing Sprinklers Generator Roof .Roof pitch
Total S Ft of Construction:
4 2S . Ft. of First Floor:
Cost of Construction: $ 200,000 Utilities:C2Sewer U Septic Building Height:
OWNER/LESSEE:
Name D.R. Horton
Address: 1430 Culver Drive NE
City: Palm Bay State: FL
CONTRACTOR:
Name: Brian W. Davidson
Company: D.R. Horton
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 on next page I If different
E-Mail: Melboumeperrnitting@DRHorton.com
from the Owner listed above)
State or County License: CRC1327068
If value of �e9nttrurflnn is eaten ......s® � or�nenen u_.:__ _e.._�—__
--------- ------•---- •--.ws v. wnuuc..rC..ICUL 13 Fu4juirea.
t
SUPPLEMENTAL CONSTR
Name: AS Design Group Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood
zip: 32750 Phone: 407M-807e
LIEN LAW INFORMATION:
State: FL
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: Phone:
Not Applicable
I certify that no work or installation has commencedlprior 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'Assoclation 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 he first work inspection.
eon. If o in ;ennidt o obtain financing, consult with lender or an attorney before
Signatur�afOwn�erlLessee Contractor as Agent far Owner
STATE OF FLORIDA
COUNTY OF erevard
The forgoing instrument was acknowledged before me
this 2Q_ day of May 20 18 by
�%Ad�o- Lam
(Name of person acknowledging)
(Signature ofRotary
Public- State of Florida )
Personally Known V \ OR Produced Identification
Type of Identification Produced
Commission No.
a�~per pc�rea otary Public State of FI
Sandra Leone
• r
°Foi poe Expires 08/10/2020
Revised 07/15/2014
Si nature of ontractor/License Holder 5
STATE OF FLORIDA
COUNTY OF erevard
The forgoing instrument was acknowledged before me
this2Cdayyof_May �0 18 by
(Name of person acknowledging)
i
(Signature of Notary Public- State of Florida )
Personally Known— OR Produced identification
Type of identification Produced
No. _ o1aar �alrlota y Public State of
Sandra Leone
o" My Commission GG 0
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