HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�v -V�qI
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED M1 [�Q
Date: Permit Number: V • W (Qa
RECEIVED
flullding Permit Application �Ur 7018
Planning and development Services Permitting Department
Rullding and Code Reguktion DivIdon St. 2300 Vkglnia Avenue, Fort Pierce FL 3Lucie Coun
4982 ty
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: __ 8617 Cobblestone DR
Legal Description: CREEKSIDE PLAT NO.1 (PB 55-12) LOT 28 (OR 3921-2362)
Property Tax ID ll: 2326-600-0033-000-9 —
Lot No. 28
Site Plan Name: Creekside
Project Name: Block No.
Setbacks Front Back: Right Side: ` Left 51de:_
DETAILED DESCRIPTION OF' WORK:
Construction for new Single Family Residence Aria; (072-
�, Bedrooms Z Bath `Z-- Garage
JSTRUCTION INFORMATION:
r&JMVAL UGasTank Ga:
Electric 21 Plumbing ✓ SpI
Total Sq. Ft of Construction:
Cost of Construction: 6A(�
nit— cneCKan Mat apply:
Piping ^ Shutters .Q Windows/Doors
nklers Generator 21 Roof RaofpM:h
Ft. of First Floor:
Utilities: Sewer Septic Building Height:
Name D.R. Horton
Addrer s:1430 Culver Drive NE
city: Palm Say FL
Slate: „—
Zip Code: 32907 Fax:321.733-7092
Phone No. 321-733-2111
E-Mail: Mefaumepermitling®DRHorton corn
Fill In fee simple Title Holder on next page (if different
from the owner listed above)
CONTRACTOR:
Name: Brian W. Davidson
Company: D-FL Horton
Address: 1430 Culver Drive NE
City. Palm Bay state: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321.733.2111
E-Mail: Melboumapermitung®DRHorton.com
State or County License: CRC1327058
Of conatructlon b $2500 or more, a RECORDED Notice of Commencement b
l -,
SUPPLEMENTAL CONSTRUCTION LiEN LAW iNFQRMATION:
Name: Aan.shmS2!Tw
Address: +ar Krseawa.:v�,st„,
City: t.enawod State: Ft.
Zip:'r'_S0 �, Phone; 44774+-00e
FEE SiMPLE TITLE HOLVER: V Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: �V
Name: • Not Applicable
Address:
city.
• State•
Zip: Phone•
t30NDING COMPANY: _ Not Applicable
Name:
Address;
City:
ZIP: Phone•
'
I certify that no work orinstallation has commenced prior to the Issuance of a permit,
St lucle County makes no representation that is granting a permit calif avthori:e the permit holder to build the subject structure
which is Jn cantiict with any applicable Home Owners Association rules, by aws or and covenants that may restrfd orprohlbit such
structure, Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
!n consideration of the granting of this requested permit, t do hereby agree that I will, In all respects, perform the work
In accordance with the approved puns, the Flarlda 8ultding Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swlmming peals, fences, walls, signs, screen rooms and accessory uses to another non•residentlai use
WARNING TOOWNER: Your failure t6 Record a
Improvements to your Nrstice of Commencement may result In your paying twice for
ntppropefty, A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectlon. If you Intend to obtain financing, consult with lender or an attorney before
commencing work or recording Your Notice of Comman,�o -&
Signature of Owner Lessee Contractor as Agent for owner
STATIC OF FLORIDA,
COUNTY OF�••w
The forrgga'no Instrument was acknowledged before me
this 22 dayof June 201g•by
t� WoL LQ
(Name of person acknowledging )
{Signature o otary,,��Py�ublk• State of Florida)
Personally Known LJl OR Produced Identification
Type of Identification Produced
Commission No.
• over gyp` e ry PubAe SL'fte of
—_ + ic� Sandra Leans
Revised 07/15/2014
00 'r -
5 nature a antractor L.Jcense Holder s
STATE OF FLORIDA
CCIUINj V OF
The forgoing Instrument was acknowledged before me
this 22 dayof June 20 18 by
{ ame of person actcdowledging } ,
(5lgnature of Notary Public• State of Florida )
Personally Known-- OR Produced Identification
Type of identification Pradup.,1
REVIEWS FRONT ZONING SUPERVISOR PLANS
terr COUNTER REVIEW REVIEW I REVIEW
INITLILS
NO. - • r 7 TT 71rY
�•ts" i al}uotaryPu�fic State of
. } Sandra Leona
My Cammfaafon GG o
VEGETATION I SEA TURTLE MANGROVE
REVIEW I REVIEW REVIEW ,