HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
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St. Lucie" County
ALL APPLICABLE INFO MUST 9E COMPLETED FOR APPLICATION TO 13E ACCEPTED �1
Date: Permit Number:
a.
Building Permit Application RF
Ploaning and Development Services
Bullding;and Code Regulation Dlvhlon Jt/
2300 Virginia Avenu4 Fort Pierce FL 34982 r 2 Z�fg
Phone:i(772)462-1553 Fax: (772)462-1578 Commercial Residential pe`Wing
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: _ 3101 Yellowstone CIR ILt 3r,qq(f
Legal Descrlption: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT 120 (OR 3921-2362)
Property Tax ID it: 2326-600-0125-000-1 Lot No. 120
Site Plan Name: Creekside Block No.
Projec(Name: ,
Setbacks Fron _- -gD Back. Right Side: Left Side
DETAILED DESCRIPTION OF WORK:
Consti Luctlon for new Single Family Residence Aria Left 1672
Bedrooms 2 Bath ZGarage
CONSTRUCTION INFORMATION: fir.
--••._•.�• nca, a81LIc1 uns peflllli—GlleGKall apply:
0HVAC Gas Tank Gas Piping _ Shutters 21 Windows/Doors
ZElectric 21 Plumbing ✓ Sprinklers Q Generator Z Roof Roof pitch
Total Sq. Ft of Construction:'cl Ft. of First Flaor:
Cost of Construction: c
�a01 Utilities: Sewer Useptic Building Height:
1 OWNER/LESSEE: CONTRACTOR: III
Name D.R. Haftn Name: Bdan W. OevWson
Addrer s:1430 Culver Drive NE Company: D � Norton
City: Palm �Y State: F!,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! Merooumepermitting®DRHorion.com Phone No. 321-733-2111
Flli; In fee simple Title Bolder an next page (if different E-Mall: Meibaumepermitting®DRHorton.com
hoiin the Owner listed above) State or County License: CRC1327058
If Vilue of construction b $2500 or more, a
Commencement h ra
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Ae cwmc ww
Address: 1441PC AA.:fU&gs„BN&
City: LZV* ed State: FL
Zip: aziso -- Phone: W-444t07e
FEE SIMPLE TITLE HOLDER: Not Name: Applicable
Address:
City: , �
Zip: Phone•
{ MORTGAGE COMPANY: Not Applicable
P Name:
Address.
City.
State•
Zip: Phone:
BONDING COMPANY: Not �Appllcable
Name:
Address:
City:
zip: Phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit,
St Lucie County make$$ na representation that Is granting a permit will autharite the permit holder to build the subject structure
which is In conflict with any applicable Nome Owners Association rules, byllaws or and covenants that may ►eslrlct or prohibit such
structure. Please consult with your Home Owners Association and review your deed far any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, r all respects, perform the wor
In accordance with the approved plans, the Florida 9u Ina Codes and St, our
County Amendments,
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pool's, fences, walls, signs, screen rooms and accessory uses to another non-reskientlai use
WARNING TO OWNER: Your fatiure 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
beford the first inspection. If you Intend to obtain financing, consult with lender or an attorne before
commencingwork or recordin our Notice of Comm y
V
Signature of Owner Lessee Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OF a,-,"
The forrr�ggoing instrument was acknowledged before me
this 22 dayof June 20 JgLby
IName of person acknowiedging )
(Signature Or otaryPublic- State of Florida J
Personally Known a OR Produced Identification
Type of Identification Produced
Commiision No.
ov.rr�e ryPuWcStsteof
? Sandra Leona
RevLW07/15/2014 rn Exphesaenrtr2020
enCPm Pnt
5 nature o antractor License Holder S
STATE OF FLORIDA
COUNTY OFy•••a
The rorgoing instrument was acknowledged before me
this 22 day of Jurrne 20 18 by
(Name of on persacknowledging }
ISlgnature of Notary Public- State of florlda )
Personally Known OA Produced Identification
Type of Identification Produced
N0,� �v,,alj4ctery Public State of
. f Sandra Leone
MY caau°fsdon GG Q
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