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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
BY
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO UE ACCEPip
Date' Permit Number: Noe)J
o' RECEIVED
Building Permit Application JUL `2 3 2018
Planning and Development Services
Building and Code Regulation Division St. Lucie Permitting Department
2300 Virginia Avenu4 Fort Pierre FL 34982 County
Phone: (772) 462-2553 Fax- (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
kddress: <, i7 Cobblestone
hi Description:
'-2-31:1i
rerty Tax lD R: Z,3zj,:, --%m — —��-- � Plan Name: lot Nu. Z
Block No.
:>:t Name: _
:roacKs t-rontc7c.__>' - 8ack:'t1-L'-_ Right Side: I Left Side:
ETAILED DESCRIPTION OF WORK:
instruction for new Single Family Residence
TION INFORMATION:
lIiVAC L_j Gas Tank Gas P
,Electric ®Plumbing ✓ 5p►in'
I Sq. Ft of Construction: -n
of Construction: ; 2 00
NER/LESSEE:
Z
— cnechc au apply:
ping "Shutters ✓� Windows/Doors
ers 11 Generator © Roof Roof pitch
Scl Ft. of First Floor: �JZ
Utilities.
tilities Sewer USeptic Building Height:
Nr me D.R. Horton
Addrer s:1430 Culver Drive NE
city: Paim Bay State:FL
Zt 'Cade: 32907 Fax: 321.733-7092
Ph'I ne No. 321-733.2111
E- li all: Melboumapermitling®DRHarlan.com
F111Ifn fee simple Title Holder an next page ( If different
fr 1�i the Owner tasted above)
If Wilue of construction 15 $2500 ar more, a RECORDED Notice of
M,
CONTRACTOR:
Name: elan w. Davidson
Company: UK 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: Matbournepan 1WJn9®DRHorton.com
State or County License: CRC132705a
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: ABOnhinCrwL,. rv•.r..,.,�
Address; u.+w aa,wrtatroo,ttt,a
City: LW~
State: Zip: a=rso Phone' acr a+eare • FL
—'
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: , Not Appi kable
Name:
Address:
city. State:
Zip:--. phone: ----
601WING COMPANY: ,Not Applicable
Name:
Address:
city:
Zip: Phone
I certify that no work orinstaRation has commenced prior to the Issuance of a permit,
St Lucie County makes no representation that Is granting a Apermtt wll! aut�oriie the permit holder to build the subject structure
which is Jn conflict with any appflcabie Home Owners Association rules, by aws or and covenants that may restrict or prohibit such
structure. Pltase consult with your Dome Owners Association and review your deed far any restrlct)ons which may apply,
In cortstderatltsn of the granting of this requested 78ulid
it, l da hereby agree that I will, in ail respects, perform the work
!n accordance with the approved plans, the FloridIna Codes and SLucie County Amendments.
Thefallowing building perml¢ applicationsare exerom undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, sljns, screen rooms and accessory uses to another non•residentlai use
WARNING TO OWNER: Your faUurra to Record a Notice of commencement may result in your Paying twice for
Improvements to your pproperty. 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 attornev befnrp
commencing work or recording vour Notice of Coma^�----
Signature of Owner Lessee ContractorasAgent arOwner
STATE OF FLORIDA
COUNTY OFbe•w
The forg�roing Instrurq It was acknowledge �efore me
this 17 dayof ,1 y 20 —by
�v�aur LQt
Name of person acknowledainrt t
�nally Known LA
Of Identification Pr
nisslon no.
iced 07AS12014
OR Produced Identification
iced
ovaDiary Putty 5t�te of
ti •. Sandra Leone
Eyphea 00"
S nature o antractor License Htrlder S
STATE OF FLORIDA
COUNTY OF>a ww
The forgoing Instrument was acknowledged afore me
this JZ day of _ J LI IV 20 1 � by
AT4z- /•et„UL
e atcknowledging }
(Sign Notary Publk. State off da 11
Personally Known � OR Produced Identification
Type of Identification Produced
rt_ra�
Ral)Jotary Pubw State of
Sandra Leona
y ' MY Ca unlLsIon GG 0
EWS FRONT ZONING SUPERVISOR P1ANS VEGETATION SEA TURTLE MANGROVE
COUNTER REV REVIEW REVIEW
. �r - REVIEW REVIEW REVIEW