HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
BY
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� Date: Permit Number:
a, RECEIVED
Building Permit Application
JUL 201A
Ploanfng and Development Services Permitting Department
Building and Code Regulation Mislon St. Lucie County
2300 W914/6 Avenue, Fort Pierre FL 34982
Phone: (772) 462-1553 Fax; (772) 462-1578 Commercial Residential ,X_
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: W7KZZ Cobblestone Dr.�
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12)
Property Tax ID ll: 2326-600- bo5a -off_
Site Plan Name: Lot No. st
Project Name: Block No.
Setbacks Front Back: �` �Rlght Leh Side:
DETAILED DESCRIPTION OF WORK:
for new Single Family Residence Ceft� / Right
'T, Bed `,I , Bath Garage
STRUCTION INFORMATION:
:JWAC LJ Gas Tank Gas Piping U Shutters 21 Windows/Doors
Electric ® Plumbing �%( Sprinklers Generator
Roof Roof pltr?r
I Sq. Ft of Construction: . Ft. of First Floor;
of Construction: Utilities:Sewer liSeptic Building height:
Wine D.R. Horton
q II IdIre, s;1430 Culver Drive NE
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Citjl: P'etm �Y State:FL
A Code: 32907 Fax; 321.733-709-2
Ph ne No. 321-733-2111
Meftum g®
E• all: eperrnitttn DRFtorton.wm
FIH fee simple Title Holder an next page( If different
fr the Owner listed above)
construction is $2500 or more, a
CONTRACTOR:
Name: Bdan W. oavldaon
Company: D-R- Horton
Address: 1430 Culver Drive NE
nty: Palm Bay State: FL
21p Code: 32907 _ Fax: 321-733-7092
Phone No. 321.733-2111
E-Mall: MelbaumapermtitingtjDRHarton.com
State or County License: CRC1327068
'0-
CO-
SUPPLEMENTAL
LiEN LAW INFORMATION:
Name: ABoagnGmmtr,
Address: +at K aeawa.>n.n etid
City: tm+aaoed State: tr
ZIP: '_'� Phone: gar-r,-0va
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
ZIP: Phone:
MORTGAGE COMPANY.- Not Applicable
Name:
Address:
ZIP: . State:
ZIP: .
Phone: - ----
BONO)N(i COMPANY: Not Applicable
Name:
Address:
City:
ZIP: -- Phone:
I certify that no work for Installation has commenced prior to the Issuance of a permit,
whFch is !n cont]ict wjth aroiy appilc�tilelFlume'Ownefs tAssgocfalj n rutei, by�aursior and covenants r tomail restrict the
arcstructure
stru t such
structure. Please consult with your Home Owners Association and review your deed far any restrictions which may apply,
in conslderatfon of the granting of this requtsted permit, ! do hereby agree that I will, In all respects, Perform the work
)n accordance with the approved pions, fire Fiarlda Building Codes and St. Lucie County Amendments.
The foflowing building permit appHcatlons are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pacts, fences, walls, signs, screen rooms and accessory uses to another non-residentlai use
WARNING TO OWNER: Your fafiurg to Record a Notice of Commencement may result In your paying twice for
Improvements 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 Oran attorney before
commencing Work or recording your Notice of Comm-•--
Signature of Owner Lessee Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFw••w
Theta rgoing instru e t was acknowledg fore me
this 17 day of �U Y z0��b
�. y
(Name of person' 1
(Signature o otary pubik- Statc olFlori a 1
Personally Known %_ OR Produced identification
Type of Identification Produced
Commission No. _ .
Sys. -Mowry PW4 Stme 01
+ tjev� Sandra Leona
7aind` Expires
Revised 07/15/2014
5 nature o antractor 5
License Hider
STATE OF FLORIDA
COUNTY OF!...'
The forgoing instrument was acknowledged efore me
this JZ day of .f U ly 20 1 9 b
.� y
L4rimp-
------------
(Name of person acknowledging 1
(Slgnature of Notary Public- State of Fiorlda )
Personally Known OR Produced Identification
Type of (dentificatien P1n111-4
al%ataryPubw Slata of
Sandra Leone
1 �,• MY Conuniastce GG a
EVIEtNS FRONT YKZONING SUPERVISOR PLANS
COUNTER REVI REVIEW REVIEW VEGETATION SEA TURTLE MANGROVE
E, �... f REViE1N REVIEW REVIEW