HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
BY
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ALL APPLICABLE INFO MusT BE Co11APLETED FOR APPLICATIDN TO BE ACCEPTED r�
Date: Permit Number: 1'
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a,.
RECEIVED
Planning and Development Services Building Permit Application Jill 2 32010
Building and Code Regulation Mftlan Permitting Department
2300 Wginla Ayenue, Fort Fierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax- (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: `E'14� Cob
Legal Description
Property Tax ID
Site Plan name: Block No.
Project Name: tt
Setbacks Front Back: S'o1 Right Side: Leh Side:
DETAILED DESCRIPTION OF WORK:
for new Single Family Residence (2-
ONSTRUCTION INFORMATION:
1ditiuna wor o orme un er sperms — c ec a app y:
i�.lWAC Gas rank 3as Piping _ Shutters ✓� Windows/Doors
Z✓ Electric 21 Plumbing22,, prinklers Generator Q Roof Roof pitch
tat 5q. Ft of construction: Ft. of First floor: 2-b
st of Construction: Utilities: 5ewer septic Building Height:
IER/LESSEE:
D.R. Horton
Addre! s:1430 Culver Drive NE
City: Palm Say
State: FL
Zip Code: 32907 Fax: 321.733-7092
'hone No. 321-733-2111
E-Mail: Mer0aumep®rmit1ing®DRHortomcom
711 in fee simple Title Holder on next page (if different
om the Owner listed above)
value of corsstructlon Is $2500 or more, a
CONTRACTOR:
Name: Brian W. Davfdsan
Company: D•R. 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: MsibournepermittkKADRHorton.com
State or County License: CRC1327068
Notice of Commencament
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Aen.,b„&aqtw
Address: 144 r K Rww Rsx im Shni
City: t.anpuood State: FL
Zip: a2750 Phone: .m-444s 're
FEE SIMPLE 71TLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State•
Zip: Phone:
' Y-----
BONDING COMPANY:
Name: r+,o+oanc
Address:
city:
ZIP: _. Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit;__
Se Lucie Countyy makes no representation that is granting a �ermft will a yhorize the -permit holder to build the subject structure
which is !n conFlie4 with any applicable Hame Owners Association rules, b aws or and covenants that may restrict or Prohlbit such
structure. Pltase consult with your Nome Owners Association and review your deed for any restrictions which may apply.
In conslderatfan of the granting of this requested permit, t da hereby agree that I will, In all respects, perform the work
in accordance with the approved plans, the Florida Building [odes and St. Lucie County Amendments.
The foflowfng building permit applications are exempt tram undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, sI ns, screen rooms and actessory uses to another non-residendai use
WARNING TO OWNER: Your failurs to Record a Notice of Carrune. acc cement may result lit your Paying twice for
Improvements to your pproperty. 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
Commencingwork or recording our Notice of Commn�ome-►
Signature o Owner Lessee Contractor as Agent cr t]wner
STATE OF FLORIDA
COUNTY OF&-,,d
The forg�roing fnstrur�e t was acknowledge (fore me
this 17 dayof my 20 _Lby
(Name off person acknowirwiling I
(SignatuZo,,Pubik- Sbte or Florida )
Personally Known t�,� 'Produced
Produced Identification
Type of Identification Produced
Commission No. _
a. "10---Rotary Pubic Strata of
? blf*: Sandra Leona
ReyUed07/15/2014 �� °1�� �E"dresoenonato
S nature o antractar License Holder s
STATE OF FLORIDA
COUNTY OFv--m
The rorgoing Instrument was acknowledged 1 before me
this�dayof__ July _ 2019by
{Name or person acknowledging I
!signature of Nota -011- State
of Florida I
Personally Known � OR Produced Identification
Type of(dentificauan Produced
No.� t'gal)!uotary Public Stata of
Sandra Leone
My cortuntulon GG a
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