HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�W By ED
Si. Lucie county �J
ALL APPLICABLE INFO MUST BE coMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
� RECEIVED
Building Permit Application
Flonningand Development Sendca JUL 3'02018
Building and code Regulation D holdon
2300 Virginia Avenue, Fort Plerre FL 34882 Permitting Department
Phone:1772) 462-I5S3 Fax: (772) 462-1578 Commercial st. Lucie County
Residential x
PERMIT APPLICATION FOR: i3uilding
PROPOSED IMPROVEMENT LOCATION: �(C
Address: __.�, 12 Cobblestone Dr. Y
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT OR 3921-2362) Fb_
Property Tax iD #: 2326-600- Lot No
Site Plan Name:
Project Name: Block No.
Setbacks Front Back; Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: ,
Construction for new Single Family Residence C �Left/ Right
`-1 Bed 213ath Garage
CONSTRUCTION INFORMATION:
-- -Iowa' uaaIII —cnecxan[Aat :
Mr
Gas Tank Gas Piping _ Shutters 21 Windows/Doors
Electric 0 Plumbing ✓ Sprinklers 11 Generator
Roof Roof pltrlr
Total Sq. Ft of Construction: _ 2 . Ft. of First Floor: I %ZH
Cost of Construction: c AA OF 810 • 'UtilitiesSewer Usaptic Building height:
OWNER/LESSEE: CONTRACTOR:
Name Q.R. Horton
Addret s:1430 Culver Drive NE
City: Palm Bay SIate:FL
Ap Code: 32907 Fax: 321.733-7092
rhone No. 321-733-21Ii
E-Mail: Meibaumepermiding@DRHarion.com
III In fee simple Title Holder on next page { if different
rom the Owner Ilded above)
Of conitructlon is S25tib or more, a RECORDED
Name: Brian W. Davidson
Company: Q•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: MelboumepermMkig@DRHorton.com
State or County License: CRC1327058 .
Commencement
SUPPLEMENTACCONSTRUCTION LIE LAW INFORMATION:
Name: A Cesae w ----.rt+moulo
Address: uotK &-.arr aad,
City: wed State: Ft.
Zip: airso ' Phone• w-g on
Name:
Address:
City,
Zip; ;;Phone•
it Not.,p�..+r•eurC
I Name:
Address•
City' State:
Zip. �_ Phone:
BONDING COMPANY:—NotAppilcabte
Name:
Address:
City:
Zip: ��— Phone:
MORTGAGE
I certify that no work 9tor irtstaRation has commenced prior too the issuance
or a permit,
which is In corintctaw ih any app le tifeiHc c°dyyne s tAssgocfa�f n �uteis bylaws or and ermit holder
hit mayi the
e sut subject
stru � such
structure. ?lease consult th your Home Owners AssochUon and review your deed for any restrictions y restrict
ich may apply,
!n consideration of the granting Of tftis requested permit,, da hereby agree that I will, in all respecu, perform the work
fn accordance with the approved plans, the Florida gullding Codes and 5t. Lucie County Amendments.
The fdlowtng building permit appftcatloru are exempt from undergoing a iu11 concurrency review: room additions,
accessary structures, swimming pack fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your faUure 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 this first inspection. If you Intend to obtaln financing, consult with lender or an attorneyb
Comntanrpmdant before
Signature o .Owner lessee Contractor asAgent or Owner
STATE OF FLORiDA
COUNTY OF&t,,d
Thera aing Instru e t was acknowledg fore me
this 17 dayof Sul y z0 W
vu�a� Leam
(Name of person acknowledging )
(SLI5,01upw Or NotaryPublic. state ofFlorida)
Personally Known OR Produced identification
Type of identification Produced
Commission No.
� e ry PuWc SL�we of
l.AP: Sandra Leone
poi rva Espfros
Revised 07/1512014
S nature o.. gntractor Ucense HMI' d ""'�'" "'— ""—" 5
STATE OF FLORIDA
COUNTY OF�„w
The forgoing instrument was acknowiedg efare me
this JZ day of J U I / 20 by
d�� /-ettrt�
(Name of person acknowledging } w"----�-
(Signature of Notary public -State of Florida I
person;
Type of
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW
ATF REVIEW
OR Produced Identification
i"A
TIT rl
0 —?3otary Public state
Sandra Leone
• aty Commful M C'G
VEGETATION I SEA TURTLE MANGROVE
REVIEW I REVIEW REVIEW