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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number: 1 s o9 DO
3
GGAN
13 A8, Ai*JFAe0"r f11t Application
Planning and Development Services
Building and Code Regulation Division
23W Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
MAY 9 0 2010
Permitting Departnu
Commercial Residential x . St. Lucie County
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 8616 Cobblestone DR f ,VA Lx.- '� �Q (C
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT 68 (OR 3921-2362)
Property Tax ID #: ,2326-600-0073-000-1
Lot No. 68
Site Plan Name:
Project Name: . Creekside V (/ V V
Setbacks Front ZS' Back: y,�i Right Side:_12bLeft Side: - 7
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence Cali 1828 Left
Block No:
CONSTRUCTION INFORMATION: 01 41 111
• �....+, .w. n av .+ „v� n,ou unucI lr1N i1urmil — CneCK all apply:
IHVAC Gas Tank ❑Gas Piping _ Shutters Windows/Doors
Electric 0 Plumbing Sprinklers 1 Generator Roof Roof pitch
Total Sq. Ft of Construction: — S . Ft. of First Floor: HIM
Cost of Construction: $ 200,000 Utilities:zSewer oSeptic Building Height:
,
OWNER/LESSEE:
Name D.R. Horton
Address.1430 Culver Drive NE
City: Palm Bay State: FL
Zip Code: 32907, Fax: 321-733-7092.
Phone No. 321-733-2111
E-Mail: Melboumepermitting@DRHorton.com
Fill in fee simple Title Holder on next page ( If different
from the Owner listed above)
CONTRACTOR:
Name: Brian W. Davidson
Company: D.R. Horton
Address: 1430 Culver Drive NE
City: Palm Bay State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: Melboumepennitting@DRHorton.com
State or County License: CRC1327068
If value of construction Is S2S00 or more, a RECORDED Notice of Commencement is required.
a" L
SUPPLEMENTAL CONSTRUC It N LIEN LAW
DESIGNE ENGINEER: _ Not Applicable
Name: at3 Design Group inc.
Address: 1441 N. Ronald Reagan 81rd.
City; Longwood StateFL
Zip: wao Phone: 4o74"o7a --
FEE SIMPLE TITLE HOLDER: _Not Applicable.
Name:
Address:
City:
Zip: Phone:
FORMATION: '
MORTGAGE COMPANY: Not Applicable
Name:
Address•
City: State:
ZIP: Phone:
BONDING COMPANY: ,''''Not Applicable
_ Name:
_ Address:
city:
_ Zip: Phone:
I
I certify that no work or installation has commenced prior to t I e issuance of a permit.
St. Lucie County makes no representation that is granting a permit wIII 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, Ida hereby agree that I will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Coil es 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 Noticelof 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 attorney before
commencing work or recording our Notice of Commencement. .
Signature of Owner/Lessee Contractor as Agent for Owner 5i nature�ofontra�ctor/Lic�enseftler�d S
STATE OF FLORIDA STATE OF FLORIDA.
COUNTY OF erm,.d
COUNTY OF a�a„ard
The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me
this 2� day of May 20 1 I3 by this, day of_ May 20 18 h
Law y
i
�JaGt c�d�- ��evK-2
(Name of person acknowledging)., (Name of person acknowledging)
(Signature o otary/P�(ubLic-State of Florida) ' (Signature of Notary Public- State Florida )
Personally Known V\ OR, Produced Identification - Personally Known—. OR Produced Identification
Type of Identification Produced Type of Identification Produced ..
Commission No.
2oY node otary Public State of --
Sandra Leone
Revised 07/15/2014- oo °p Expires 08/10/2020
REVIEWS: FRONT ZONING I SUPERVISOR PLANS
COUNTER' REVIEW REVIEW REVIEW
N0. o csY alr otary Pubtic state of
= Sandra Leone
My Commission GG 0
VEGETATION I'SEA'fURTLE MANGROVE
REVIEW REVIEW REVIEW