HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APFh&Y1p PTEC)
Date: Permit Number: l o 9r)
RECEIVED
Building Permit Application
P/ahnlaq and Development Services Jul 3 0 2018
Building and code Regulation A1vLdon
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Department
Phone: (712) 462-ISS3 Fax: (772) 462-1S78 Commercial St. Lucie County
Residential X
PERMIT APPLICATION FOR: Building
3ROPOSED IMPROVEMENT LOCATION:
tdd►ess: 3 Cobblestone Dr.
egal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOTS (OR 3921-2362)
roperty Tax lD #: 2326-600-�lv �� Lot No.
ite Plan Name:
rojest Name: _ i Block No.
Back: _ `C )- ,7 Night Slde:l �� Left Side:
DESCRIPTION OF WORK:
for new Single Family Residence . eft / Right
Bed — Bath 2 Garage
STRUCTION INFORMATION:
-w- u+o pnrmrti— cnecx an apply:
JWAC Gas Tank Gas Piping _3hutters �✓ Windows/Doors
Electric 21 Plumbing ✓ sprinklers Generator Roof Roorpitch
154. Ft of Construction: �j _ . Ft. of First Floor, i rP��•
of Construction; c I Utilities Sewer 1jSeptic Building Height:
E:
N me DA. Horton .
A Idre: s: 1430 Culver Drive NE
Cl : Palm Bay State;FL
p Code: 32-907 Fax; 321-733-7092
Phone No. 321-733-2111 -
fee simple Title bolder an next page (if different:
the Owner listed above)
Name: Brian W. Dasvidsan
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: Malbournepert 1Ht1ng®DRHorton.com
State or County License: CRC1327068
Is $11500 or more, a RECORDED Native of Commencement
SUPPLEMENTAL CONSTRUC'TiON LiEN LAW iNFQiiMAT10N:
Name: Nsaesimrm,,,,<-_..r•rnwulc
Address: is4frirteaulraNd
City t.NVV=d State: FL
Zip: ssrphone; Zrar-0ara
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip' Phone'
MORTGAGE COMPANY; Name: Not Applicable
Address.•
City' State:
Zip: Phone: ~---
9ONb1NG COMPANY: Not AAplicab et
Name:
Address:
Ott
Zip: Phone:
I certify that nyo work$orinstallation has commenced prior to the Issuanceofa permit.
whFch is in contlictaw,th t ppU r eiHameaOiwnefs tAssgocfa!{agi�uies bglawstoi and covenants that that mayd esllesubject ghlb,t suzh
struRure. Please consult with your Home Qwners Assoclatian and review your deed for any restrictions which may apply,
In conslderatfon of the granting of this re utsted
in accordance with the approved pions, the F1 rlda 8 Ii t^g Codes and St�L thacie I will. In all
Amendments.reap respects,
erform the work
The fallowing bulldfng permit appNcations are exempt from undergereoing a full
canwrrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure 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 or an attorney
eommenein work or recordin our Notice of Commencement y before
ITE OF FLORIDA
LINTY O F a,-,
1 loin lof tru July
was acknowledged Ware me
Y IY 20 , by
ie of person aeknowledairto
malty Known (A OR Produced Identification
of IdentiiicaNen 5,—K A
No.
tory "S -1,10tery P.WC Stag of
Sandra Leona.
07/15/20t4 urn Exvkot 0 eizo
S nature o antractor License Helder S
STATEUNTY OF FLORIDA
COOF o�.we
The rorgoing instrument was acknowledged efore me
this J Z day of --Lk_ Icy_ 20 1 i by
{Name of person acknowledging } "—
{Signature of Notary Puhlk-State 01 Florida }
Personalty Known OR Produced Identification
Type or Identification Produced
�y �al)olary Pubic State al
:R` Sandra Leona
FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEyy REVIEW VEGETATION SEA TURnE MANGROVE
c�. REVIEW REVIEW REVIEW