HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCAMN'
8161 lnt,P'e�rmit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, For: Pierce FL 34982
Phone: (772) 462-15S3 Fax: (772) 462-1578 Comme
Permit Number: d pOS' 0112 1
RECEIVED
pplication MAY 9 0 2010
Permitting Department
St. Lucie County
Residential X
PERMIT APPLICATION FOR: Building I
.PROPOSED IMPROVEMENT LOCATION:
Address: Cobblestone DR i If
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT (OR 3921; 2362)
Property Tax ID #: 232 . -600-0
Site Plan Name:
Project Name: Creekside V�J
Setbacks Front�� . Back;;� Right Side:1 Left Side:
I DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence LQ&' �'k U
Lot No-2-47_
Block No,
CONSTRUCTION INFORMATION:
Additional work o orme under is permit —check a apply:
ZHVAC be
Tank []Gas Piping _Shutters Q Windows/Doors
�✓ Electric Plumbing Sprinklers Generator Z Roof Roof pitch
Total Sq. Ft of Construction: aMr104— t RR . Ft. of First Floor: lit �4 ki
Cost of Construction: $ 200,000 Utilities:C2 Sewer U 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 on next page ( If different E-Mail: Melboumepermitting@DRHorton.com
from the Owner listed above) State or County License: CRC1327068
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
•
SUPPLEMENTAL CONSTRUCTION LIEN LAW INI
DESIGNER/ENGINEER: _ Not Applicable
Name: AS Oesliln Group Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Langwmd State: FL
Zip: 32750 Phone: 407-44-6076
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: .
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issu
St. Lucie Count makes no representation that is granting a permit wi
which is In convict with any applicable Home Owners Association rule
structure. Please consult with your Home Owners Association and re%
In consideration of the granting of this requested permit, I do hereby
In accordance with the approved plans, the Florida Building Codes anf
iRMATION:
MORTGAGE COMPANY:
Name:
v Not Applicable
State:
Phone:
NDING COMPANY: _Not Applicable
Phone:
Of a permit.
laws or and covelnants thetmaiy restrict o�rprohl6lt such
your deed for any restrictions which may apply.
e that I will, in all respects, perform the work
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 roo i s and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Cotttmencement 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 attorney before
Commencing work or recordini; your Notice of Commencement.
Signature OfOwne�rlLesse Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Bravoed
! The forgoing instrument was acknowledged before me
this-29 dayof. May 20 18 b
— Y
(Name of person acknowledging)
(Signature of -NotaryyPyublic- State of Florida
!J\ )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
,,gyp
Notary Public State of
? lk Sandra Leone
a� nog Expires 0f3150/2020
Revised 07/15/2014 - h A
REVIEWS I FRONT ZONING
COUNTER REVIEW
INITIALS
Sin iture of ontractor/License Holder S
STATE OF FLORIDA
COUNTY OFe��3rd
I
The forgoing Instrument was acknowledged before me
this 2i_ day of _ M ay zo 18 by
! \Jl o dk,1�_ (-ev
(Name of person acknowledging )
I
(Signature of Notary Public- State of Florida )
Personally Known (:sZ— OR Produced Identification
Type o I Identification Produced
,sion No. _ _ �a`oy
l
!al flotary Public State of
Sandra Leone
F My Commission GG 0
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