HomeMy WebLinkAboutPERMITSCANNED
BY
ALL APPLICA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ii a 1'^
Date: Permit Number: t ao Le l J -I l
at. -mot
Building Permit Application RECEIVED
Planning and Omlopment Services
Building and Code Plegulation Divlslan JUN 2 8 2018
2300 Vlrglnla Avenu4 Fort Plerce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-i578 CO Residential M-ercial �^ Permitting Department
Xsr. '"panty
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATIO
Address: 8753 Cobblestone DR P
Legal Description; CREEKSIDE PLAT NO.1 (PB 55-12) LOT 45 (OR 3921-2362)
i
Property Tax ID #: 2326-600-0050-000-4
Lot No. 45
Site Plan Name: Creekside
81oc1, No,
Project Name:
Setbacks Front - Back; 6FJ K Right Side: 1 Leh Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
Bedrooms 2 •!�' Bath 2 Garage
CON TRUCTION INFORMATION:
Additional wwrMum-Urformea undarthicnarmit=7
Gas Tank
Piping
UVI Electric 21 Plumbing ZSp►ln!
Total 5q. Ft of Construction: _ 3d3 )
Cost of Constructlon: S I`D _'1QS, 1110
Shutters z Windows/Doors
Generator tZI Roof UZ Roof pitch
Ft. of First Floor:
utilitlesSewer septic Building Helght: Z
OWNER/LESSEE:
Name D.R. Harlan
Addret s:1430 Culver Drive NE
City: Palm Say State:F�
Zip Code: 32907 Fax: 321.733-7092
Phone No. 321-733-2111
E-Mall, M8fturnWermit1ing®DRHcrfomcam
Fill In fee simple Title Holder an next page (if different
from the Owner fisted above)
If value of construction Is $2500 or more, a
CONTRACTOR:
Name: Bdan W. Davidson
Company: D.R. Horlon
Address: 1430 Culver Drive NE
City: Palm Bay State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No, 321.733-2111
E-Mail: M8lboumepermlltkV@DRHorton.com
State or County License: CRC1327058
Commencement fs
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: bceor Warptnc
Address: u4tK un.urts"a,Br„a.
City: t.nnpwood State: Ff.
Zip: r�rso�...� phone: aar� 4ws
rt:t 51MPLE TITLE HOLDER: ` Not Applicable
Name:
Address:
City:
Zip: Phone:
---------------
COMPANY: tr Not Applicable
Name:
Address:
City' state:
Zip:--. Phone:-�--
BONDING COMPANY: Not Applicable
Name:,
Address:
City:
ZIP: _ Phone:
Wl
I certify that no work orinstailation has commenced prlor to the Issuance or permit,
which I' Countyy make no representation that is granting a Hermit will out�orize the permit holder to build the subject structure
which is !n canttict wit goy applicable Home Owners Association rules, by aws or and covenants that may restrict jest structure it such
structure, please consult th your Home Owners Assdclatlon and review your deed for any restrictions which may apply.
ji -In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform thework
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 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 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
9 before the first inspection. if you Intend to obtain financing, consult with,lender or an attorney before
11rcommencln work or record(n oar Notice
Signature o�Omer Lessee Ccntractoras (tent or Owner
STATE OF FLORIDA
COUNTY OF&..w
The forrggoing Instrument was acknowledged before me
this 22 dayof June 20 J&by
� vu. Leave
(Name of person acknowledging )
(SignatureZoOtary�IPublicf Fl
.State oorida I
Personally Known i. (�� OR Produced identification
Type of Identification Produced
Commission No:
• re.a rrP -Ststea
7a`r'na Ex*65
Revised 07/15/2014 J„�lili �
5 nature o ec�ntract.rLicense Holder S
STATE OF FLORIDA .
COUNTY OF11—w
The forgoing Instrument was acknowledged before me
this 22 dayof June 20 18 by
4per
t(dw lerJr�
( amcicriowiedging--
(Signature of Notary public- State of Florida )—`"`
personally Knawnr-- OR Produced Identification
Type of Identification Produced
REVIEWS fRONT I POKING SUPERVISOR PLANS
_ CCiUNTER REVIEW REVIEW REVIEW
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INITIALS
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VEGETATION SEA TURTLE MANGROVE
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