HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt p�Q��pp �
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APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
fie' Permit Number: i%on• O
RECEIVED
Buildins Permit Application
fining and Development Services JUL 2 3.1010
ding and Code Regulation Division
2 Virginla Avenue, Fort Pierce FL 34982 Permitting Department
ne.1772) 462-15S3 Fax: (772) 462-1578 Commercial ^ ResidentlSt•a� ucW County
IT APPLICATION FOR: Building
)SED IMPROVEMENT LOCATION:
Cobblestone Dr. �f�---ram�� k
scriptioPY;�l�Q�Q,S_� _L,- 1'lOz tJO. 6 -17 1�..><r I- i _ I (F o - e
Tax ID P: (o ^ (vim l:( 6(0 --OL-0 — q Lot
Plan Name:
81ock No.
ect Name:
Jacks Fran Back; r Right Side:_ Lest Side:
NAILED DESCRIPTION OF WORK:
C 'Instruction for new Single Family Residence (a+ ,
Ae
flNSTRUCTION INFORMATION:
7- - - _U wlouc; uus purmit — cneCK alltut appiy.
WAC Gas Tank Gas Piping _ Shutters 2✓ Windows/Doors
Electric 21 Plumbing kl i
✓ rners Generator
• /� � Roof Roof pttch
I Sq. Ft of Construction: _ V . Ft. of First Floor: (� f
of Construction:,,; `�P O - Utilities Sewer Ej Septic Building Height: _7,
ne D.R. Harlan
Ire,, 5:1430 Culver Drive NE
• Palm Say State:FL
Code: 32907 _ Fax, 321.733.7092
ne No. 321-733.2111
In fe* simple Title Holder on next page (if different
n the Owner listed above)
CONTRACTOR:
Name: Bdan 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•Mall: Meibournepermkttng®DRHorton.com
State or county License: CRC1327068
If t atue of constructlan Is $2500 or mare a RECORDED! N;tice of Commencement
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Aao.,bnc,,,,q
! Address: u.r k ReeW pa�pm>itsd
City: L&Vwmd State: at
Zip: a�r�_ Phone: aar�t�eore --'—'
FEE SIMPLE TITLE NOIF)ER: Not Applicable
Name:
Address:
City:
ZIP- Phone:
MORTGAGE COMPANY: Not AppNcable
Name:
Address•
city. State
ZIP:*---,. Phone: : —w--
BONDING COMPANY: :Not Applicable
Name:
Address:
City:------
Zip: _ Phone
I certify that no work orinstallation has commenced prior to the Issuance of a permit,
it Lucie County makes no representation that Is granting a hpermit wi!! auybarite tha permit holder to build the subject structure
which is In conflict with any applicable yome Owners Association rules, b aws or and covenants that may restrict or prohibit such
tructure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply,
n consideration of the granting ar this requested permit, I do_hereby agree that I will, In all respects, perform the work
n accordance with the approved plans, the Florida ®ullding Codes and 5t. Lude County Amendments.
he Iollowfng bulFding permit appNcatiotu are exempt Pram undergoing a fs,
ccessarystructures, swlmming pools, fences, walls, sins, sull concurrency review: room addition
creen rooms and accessory uses to another non-residential use
VARNING TO OWNER: Your failure to Record a Notice of Commencement may result In your paying twice for
nprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
efore the first inspection. If you Intend to obtain financing, consult with lender or an attorney before
ommencinR work or recording your Notice of Commenrpr„pnt
►TE OF FLORIDA
JNTY OFa,-•w
forgoing Instru e t was acknowled fore me
17 dayof �Uiy Za`'�bY
Person
tnally Known a OR Produced identification
of Identlficetron Produced
nisslon No.
e oyry Pub1c State or
San dra Leone
FRONT I ZONING
COUNTER REVIEW
5 nature o ntracwr license Holder s
STATE OF FLORIDA
COUNTY OF_p .w
The rorgoing instrument was acknowledged efore me
this JZ day ofJuly �t7 1 by
c>�A. Zgln
(Nameof personae nowlg l
(Signature of Notary Publlc• State of lorida
Personally Known OR Produced Identification
Type of identification Produced
�.1 1,6jalhatary Puw. state of
. } Sandra Leone
My Commicaton GC; a
PLANS VEGETATION I SEA TURTLE MANGROVE
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