HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI,
i
SCANNFEi G
BY
st. eels
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / 7
Date:. Permit Numbers T "1
CE
Building Permit Application JUG 6
Plonnfng and DevelopmentSerWCes 2018
8uflding and Code Regulation Division
2300 Virginia Avenue, Fort Plerce FL 34982 Pe rm i tti n 9 Depart e n
Phone: (772) 462-I553 fax- (772) 462-1578 Comm vial Resi entfit
NCO u n ty FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 8625 Cobblestone DR
Legal Description: CREEKSIDE PLAT, NO.1 (PB 55-12) LOT 0 (OR 3921-2362)
Property tax ID #: 2326-600'-0035-000-3
Site Plan Name; Creekside
Lot No. 30 �
efock No
Project Name:
Setbacks Frant Back; lght5lde: Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence AG�
Bedrooms a Bath Garage
CONSTRUCTION INFORMATION:
A00r iona wor o orme un er s Permit— check a app y:
�IWAC Gas Tank Gas Piping � Shutters LT .l Windows/Doors
IElectric Plumbing ✓ Sprinklers Generator Roof �( — Root phrh 11
Total Sq. Ft of Construction: �� . Ft. of First Fluor.
Cost of Construction: s a3 , -
Utilities: Sewer liSeptic Building Height: _ l
OWNERAESSEE: I
CONTRACTOR:
me D.R. "Orion Brian W. Davidson
dregs Name: 143Q Culver Drive NE Company: D-Ft. Horton
V: Palm Bay State: FL Address: 1430 Culver Drive NE
)Code: 32907 _ Fax: 321.733-7092 Palm tea
me -321-733-21111 ry' Y State: FL
M - Zip Code: 32907 fax: `3-7092
Mall: Melbaumapermitiing®DRHarton cam Phone No. 321.733-2111
In fee simple Title Holder oft next page (.if different E-Mail: Meiboumaperrnitting®DRHorton.com
n the Owner listed above) State or County License: CRC132705a
value of construction b
or more, a RECORDED Notice of
a�
SUPPLEMENTAL CONSTRUCTION LIEN LAW
Name: AB aeshin onm iw
Address: 1441 K nauU Rf"err Ot t
City: L&awwod State: F
z1p: 91730 Phone: 4w4i- ora_
SIMPLE
w Not.,r.Mu�oue
Name:
Address:
City:
Zip Phone:
QRMATION:
MORTGAGE COMPANY: Not Applicable
Name:
Address•
City: State:
Zip. Phone. --=----
BONDING COM_ PANT: :Not Applicable
Name:
Address:
city:
Zip: Phone: .
I certify, that no work arinstallation has commenced prior to the Issuance of a permit,
St lucfe County makes no representation that Is granting a �ermtt will authorize the permit holder to build the subject structure
which is In conflict with any appllcahle Home Owners Association rules, by aws 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 re nested
In accordance with the approved plans, the Fiarida 8ulldtng t odeseand Lucie County Amendments.
p t erform the work
The following building permit appHcatlons are exempt from undergoing a ructures, swimming poaJs, fences, wallfoil cancurrency review: room additions,
accessory sts, signs, screen rooms and accessory uses to another non-resfdentlai use
WARNING TO OWNER: Your fallure to Record a Notice of Commencement tray result Itt
Improvements to your property. A Notice of Commencement must be recorded and post d an6the twice
obsite
before the first inspection. If you Intend to obtain financing, consult with lender or an attorney before
commenc(n work or recordin our Notice of Commen
SlgnatureofOwner Lessee Contractor as Agent or wner
STATE OF FLORIDA
COUNTY OFe,••w
The forrggoing Instrument was acknowledged before me
this 22 dayof June 201$by
(Name of person acknowledging 1
(Signature o otary Pub1lc- state of Florida j
Personally Known OR Produced identification
Type of Identification Produced
----------------
Commission No.
o has ry` e y PUNC stma of
+ t� Sandra Leona
RevUed07/1512019 Eyptres0aritII2U20
_cement.
STATE OF FLORIDA
COUNTY OF o�w
The forgoing Instrument was acknowledged before me
thls?2 dayof June �0 18 by
{ ame al person acknowledging I
(Signature of Notary? State of F olof rida 1 "" —"""'
Personally Knowo-.� OR Produced Identification
Type of Identification Produced
�T r�r lrw
ftal}uotary Putts state of
. ♦ Sarxtra Leona
�i aty C Mr Ulan GG 0
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