HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building I
PROPOSED IMPROVEMENT LOCATION:
Addresstone DR
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LO'
r .
Property Tax ID #:.2326-600-00-I }000-
Site Plan Name:
Project Name: . Creekside
Setbacks Front Back: •(00 Right Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence C
qbd Z 6t,
CONSTRUCTION INFORMATION:
ITION TO BE ACCEPTED
Permit Number:
RECEIVED
Application MAY 3 0 7018
Permitting Department
St. Lucie County
!al Residential X
Len
-2362)
Left Side:
M
Lot No._ .(O
Block No.
JOHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
�✓ Electric 0 Plumbing USprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 73%�% S . Ft. If First Floor: ! w
Cost of Construction: $ 200,000 Utilities. S Iwer USeptic Building Height:
OWNER/LESSEE:
CONTPj
._
Name D.R. Horton
Name: t3iri
Address:1430 Culver Drive NE
Company:
City; Palm Bay State: FL
Address: '
Zip Code: 32907 Fax: 321-733-7092
City: Palm
Phone No. 321-733-2111
Zip Code:
E-Mail: Melboumepermitting@DRHorton.com
Phone No.
Fill in fee simple Title Holder on next page( If different
E-Mail: ME
from the Owner listed above)
State or Cc
If value of construction Is $2500 or more, a RECORDED Notice of Commeneem,
_�' I �e,
AO 7
n W. Davidson
D.R. Horton
430 Culver Drive NE
State: FL
17 Fax:321-733-7092
-733-2111
License: CRC1327068
required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER ENGINEER: _NotApplic i ble
Name: � Design coup m�•
MORTGAGE COMPANY: Not Applicable
—'
Address: 1441 N. Ronald Reagan Blvd.
Name•
Address•
City: Longwood
State. FL
Zip 32750 'Phone:4o-,-"4w@
'
City: State:
2iP�Phone:
FEE SIMPLE TITLE HOLDER: — Not Appl)ca�le
Name:
BONDING COMPANY: _._Not Applicable
Address:
Name:
City:
Address:
I
Zip:_ Phone: I
city:
Zip: __ Phone:
I certify that no work or installation has commenced prior to the issuance of a permit,
which is fn conflimawith eny applicableiHome Owners Association rules, authorizelr and covenants that build restrict orprohib t such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may appl.
In consideration. of the granting of this requested permit, Ildo hereby agree that I will, in all respects, perform thew k y
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. concurre ncy review: room additions,
accessory structures, swimming pools, fences, walls, signs, I creep 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 obtainl financing, consult with lender or an attorney before
commencing work or recording vour Noticp of rnn,.,,o,,..e....e..a
as
STATE OF FLORIDA
COUNTY OF11'emd
The forgoing Instrument was acknowledged before me'
this 2 _ day of May 20 18 by
Q% Lei
Name of person acknowledging
pignature otNotary
yPublic- State of Florida)
Personally Known V\ - OR Produced identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
REVIEWS, EFRONT
DATE
COMPLETE
INITIALS
Si nature of ontractor/License Holder 5
STATE OF FLORiOA
COUNTY OF ere a,d
The forgoing Instrument was acknowledged before me
this 9q day of _May 20 L8 by
�JQ�.t c�dG�- �•ev�-2
(Name of person acknowledging )
(Signature of Notary Public- State —of Florida )
Personally Known— OR Produced Identification
Type of identification Produced
--Notary Public State of I r}tstid'nrr
=o�par
6
Sandra Leone
2s1
Expires 08/10/2020
ZONING
SUPERVISOR I
REVIEW
RPLANS
REVIEW EVIEW.
N0. v o�PI &*otaryPublic State of
Sandra Leone
o My Commission GG 0
VEGETATION I SEA TURTLE I MANGROVE
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