HomeMy WebLinkAboutBUILDING PERMIT APPLICATION®BNNVOS
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I QI
Date: Permit Number:
e,.
Building Permit Application R�FrvFo
PJonning and development Servlres
Building and Code Regulation dlvislon ✓14.2 .
2300 Virglaia Avenue Fart Pierce Ft 34982 permlttl 8 ?018
Phone: (772) 462-iSS3 Fax; (772) 462-1578 Commercial ResidentiR,°eparty
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: _ 8637 Cobblestone DR ; -f
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT 32'(OR 3921-2362)
Property Tax ID lh 2326-600-0037-000-7
Site Plan Name: Creekside
Project Name: T'
Setbacks Front_` Sack: _�Ight lde: Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence PA
Bedrooms ?j Bath 2 Garage
CONSTRUCTION INFORMATION:
A00(tionalworEtatismitopellcri un er s oermi_ e ar
Lot No. 32 V
Block No.
Piping UShutters ✓7 Windows/Doors
UElectric �_ Plumbing Sprinklers Generator Pours
Roof L 4- Roof pitrh
Total Sq. Ft of Construction: �� . Ft. of First Floor; `i-�'
Cost of Construction: ; Utilitles Sewer Septic Building Height: L-
Gas Tank
OWN
Name D-R. Hodw
Addref s:1430 Culver Drive NE
City: Palm Say State:Fl
Zip Code: 32907. Fax; 321.733-7092
Phone No. 321-733-2111
E-Mail: Melboumepe(mitting®DRFlorlon.com
Fill in fee simple Title Holder an next page { If different
from the Owner listed above)
If value
5gv �
or more, a
Name: Sdan W. Davidson -
Company; A•R. Harlon
Address: 1430 Culver Drive NE
City: Palm Bay State: FL
Zip Code: 32907 Fax: 321-733-7092 .
Phone No. 321.733-2111
E-Mail: Meiboumepermi kKQDRHorton.com
State or County License: CRC132705a
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Aace,to„anwim
Address: u.riLnaa.IQatQtntltes
City: L&Vwmd State: Ft.
Zip: a2r50_ Phone: sar�.ame
FEE SIMPLE TITLE HOLDER: I Not Applicable
Name:
Address:
City: '
ZIP: Phone:
t UNTGAGE COMPANY: Not Applicable
Name:
Address;•
City' State:
Zip:,_____-- Phone:
BONI)lNG COMPANY: —Not Applicable
Name:
Address:
City:
ZIP: Phone
I certify that no work orinstallation has commenced prior to the Issuance of a permit,
St Lucie County make no representation that is t;ranting a ppermit wip avthori:e the permit holder to build the subject structure .
which is !n conflict wit any appiJcabte Home Owners 14ssactetton rules, by aws or and covenants that may restrict or prahlbit such
structure. Please consult with your Home Owners AssacJatlon and review your deed for any restrictions es may apply.
In conslderatfon of the granting of this re nested
to accordance with the approved plans, the Fiorlda 8ullding Codes and LucieiwillCounty Amendments.reaperform the work
The following bvlading permit appNcations ale exempt tram undergoing a lull concurrency review: roam additions,
accessory structures, swimming pools, fences, walls, s>tns, 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 attorney before
COM nencing work or recording our Notice of Comm^��•---_•
Signature o40wrssee Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OFa••w
The forgoing Instrument was acknowledged before me
this?2 dayof June
20 - by
jj
eam
(Name of person acknowledging)
(Signature or otaryPublk- State of Florida j
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
o,1fr •�•---Hcla'ry PUNC sUa of
+ 6/p'�: Sandra Leone
Revised07/15/2014 ? °1��-EXP465ae1IW2020
5 nature o ontractor/Uctaru He�older s
STATE OF FLORIDA
COUNTY OFn��
The forgoing instrument was acknowledged before me
thls 22 dayof June 20 18 by
d"z .- /-eo m _
(Name of person acknowledging i
(signature of Notary Publf- c State of Florida)—`-----
Personaify Known OR Produced Identification
Type of identification Produced
..-ft,us
REVIEWS FRONT PONING SUPERVISOR PLANS
COUNTER RfIVIEW REVIEW REVIEW
IOTF
INITIALS
� TTYw
NO. :�� �aljiotaryPuaGc $fate of
ti Sandra Leone
My C:oanetadan Ga tr
VEGETATION I SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW