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BUILDING PERMIT APPLICATION
SCANNED 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