HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
BY
St. Lucie County
ALL APPLICABLE INFO MUST HE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: • �,�
- SCANNED
BY
• ngtft✓rerm/ RECENED
ppGcativn
Ficanlag and Development SerBuicl�vices JUN -2 8 2010
Building and Code Regulation DivLslan Permitting 2300 Virginia Avenu4 Fort Pierce FL 34982 St, Lucie Depacourtment
Phone: (772) 462-YSS3 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATIC
Address: 8701 Cobblestone DR
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT 36 (OR 3921-2362) /
Property TaxID #. 2326-600-0041-000-8
Lot No. 36
Site Plan Name: CreeMde
�
Block No.
Project Name: ��aa
Setbacks Front. Back: Right Side: `2 "1� Leh Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
Bedrooms 3 Bath 2Garage
CONSTRUCTION INFORMATION:
----- -_ _ an1ua1 NA7 Nrr1IHi—G;
iWVAC Gas Tank Gas Piping
Electric Plumbing ✓ Sprinklers
(� Total Sq. Ft of Construction:
Cast of Construction: c 117,
OWNER/LESSEE:1 f5a>
Name D.R. Notion
Addre: s:1430 Culver Drive NE
City: Palm Say State:FL
Zip Code: 32907 Fax: 321.733-7092
Phone No. 321-733.2111
E-Mail: Me1bournepertnitting®DRHarlon.com
Fill In fee simple Title Holder an next page (if different
from the Owner listed above)
If value of construction Is $2500 or more, a
ao C SLL-t
UShutters ✓Windows/Doors
Generator 4L..1 Roof Roof pM:h
sFt. of First Floor:52-
:0Sewer QSeptic Building Height:
CONTRACTOR:
Name: Brlan W. Davidson
Company: O.R. Horton
Address: 1430 Culver Drive NE
City,: Palm Bay State: FI-
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321.733-2111
E-Mail: MelbournapermMkM@DRHorton.com
State or County License: CRC_ 1327058
Commencement is requirad.
Cr.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Aattelionf-roupine
Addressevansht
City: Uft ood State: fl
Zip: a=ts? Phone: wr44.ame
FEE SIMPLE TITlE HOLDER: ` Not Applicable
Name:
Address:
City:
Phone:
MORTGAGE COMPANY: �• Not Applicable
Name:
Address:
City' State•
Zip: Phone:
' ~----
BONDING COMPANY: NoC Applicable
Name:
Address:
City:
Zip: _ Phone:
i certify that no work orinstallation has commenced prior to the Issuance of a permit,
St Lucie Countyy mak�5 no tepresentatlon that Is granting a ppermit wilt authorize the permit holder to build the subject structure
which is In canllict with any appilcabie Home Dwnrrs Associatioq rules, by aws or,anct covenants that may restrlct orprohlbit such
structure. Please consult with your Home Owners Assaclatlon and review your deed for any restrictions which may apply.
In consideration of the gnnting of this requested permit, I da hereby agree that I will, in all respects, perform the work
In accordance with the approved plans, the Florida 9uliding Codes and St. Lucie County Amendments.
The iollowing btillding 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-re0dendai use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result In your payIna twice for
Improvements to your pproperty. 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
commencin work or recordfn our Notice of Comm^�� ----•
Signature of Owner Lessee Contractor as ent or Clwner
STATE OF FLORIDA
COUNTY OF&..wd
The forrggoing Instrument was acknowledged before me
this 22 dayof .tune 20 1g,by
Person
Rally Known 2 OR Produced identification
of Identification Produced
mission Ho.
a,>a' ���,_ e f Clary Pubic SLete or
L:A Sandra Leone
Revised07/IS/2019 'O''%a EYplre.aenttrznzo
5 nature o ontractor Ucense Haider s
STATE OF FLORIDA
COUNTY OF•�
The forgoing instrument was acknowledged before me
this 22 dayof June 20 18 by
(Name of person ackgowledging I —
(Signature MNotary Puhlk- State of Florida )
Personally Known • OR Produced Identification
Type of identification Produced
rLia_^ft
N0. :� TTTTY'
�r'
.►+* al)votary Public State of
Sandra Leona
'y My conuni"lon GG 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REA REVIEW REVIEW ATE , _r -i^ (✓ I REVIEW REVIEW