HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONJ RECEIVED SCANNED
JUL 2 3101E By
Perm a )Pn ...St. Lucie Cilimrt�Ul
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' Permit Number: ` O�
. • -
Building Permit Application
Planning and development Services
Building and Code Reguktion Division
2300 Vkglnla Avenue, Fort Fierce FL 34982
Phone, 1772)462-1553 Fax. (772) 462-1578 Commercial'.Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:— Cobblestone Dr. ( CA
Legal Description: �lt V �� l(, yip
Property Tax ID Il: 2�� — (nal�— bOj�l lOOp— Lot No.
Site Plan Name: Block No.
Project Name.
Setbacks Fran Back: Right Sid Leh Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
CONSTRUCTION INFORMATION:
ZWAC Gas Tank Gas Piping _ Shutters �✓ Windows/Doors
❑✓ Electric 0 Plumbing Sprinklers Generator Q Roof Root pm:h
Total Sq. Ft of Construction: ft. of,First Floor:
Cast of Construction: ; 4 '
Utilities: Sewer Septic Building Height: _L
uvvlvtn/t-t hbh1::
CONTRACTOR:
Name M Ha1110n
Name: Brian W. Davidson
Addrer s:1430 Culver Drive NE
Company: D-FL Norton
City: Palm Say State:FL
Address: 1430 Culver Drive NE
Zip Code: 32907 Fax. 321.733-7092
Palm Say State: FL
Phone No.
Zip Code: 32907 Fax: 321-733-7092
E-Mail: M®Rmumepotmiting®DRHorton.com
_
Phone No. 321-733-2111
Fill in fee simple Title Holder on next page I If different
E-Mail: Meiboum®permNUng®DRHarton.com
from the Owner listed above)
State or County license: CRC1327068
value of constructlen Is $2soo or more, a RECORDED Notice of
�oa5
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Aaoe,ta,o,..w
Address: 1441 K ft-H RaiVan ttkd.
City: t.oroaaed State: Pi
Zip: at'so Phone: w744- is
FEE SIMPLE TITLE HOLDER: ` Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMIPANY
Name: : Not Applicable
Address:
city' State:
Zip Phone.` --
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no workSorinstallation has commenced prior to the Issuance of a permit,
usrh}ch is !^ coiitlictaw,[h enyeappllcatiieiHomeaOlwners tAssgocfafio�rru,as bylaws or and covenants that rneyr estffct subject
oh,blt suc
structure. Please consult with your Home Owners,issoclatlon and review your deed for any anreits
that
which may apply.
h
!n cansideratfon of the grantingat this requested permit, I do hereby agree that I will, In all respects, perform the work
In accordance with the approved plans, the Fltsrlda 8ulid,ng [odes and St. Lucie County Amendments.
ThQ faflaw,ng bulkd,ng permit appNcat,ons are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pdols, fences, walls, signs, screen rooms and accessory uses to another nan-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice For
Im rovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you Intend to obtain financing, consult with lender or an attorney before
Commencing' work or recordin your Notice of Comma—a-1.
Signature OICer Lessee CcntractorasAgent orawner
STATE OF FLORIDA
COUNTY OFem."
The far��ro,ng Instrurnerlt was acknowledge Wore me
this 17 day of Ju y 20 _by
y� Low
{Name of person acknowledging I
(Signalure o otary Public- State of Florida I
Personally Known t%. OR Produced Identitication
Type of Identification Produced
Commission No.
tea. *&-Nowry Ptsw c state of
? tjort Sandra Leone
Revised 07/15/2014 01 a
S nature o ontractor License HWder s
STATE OF FLORIDA
COUNTY OFy�•a
The forgoing Instrument was acknowledged etore me
this -JZ day of _ _ J LI IY 20 by
�(du_ je�,t..�
{Name of per%son acknowledging (
(Signature of NotaryPublic- State of Florida I
Personalty Known OR Produced Identification
Type of identification Produced
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N0_� �,pralj�otary Punic State of
Sandra Leona
161Y commtulon GC; a
VEGETATION SEA TURTLE MANGROVE
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