HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONCANNED
BY
f
T1' vlr.E�pr--�
COCr
FOR APPLICATION To BE ACCEPTED v�
Permit Number: l '
Building Permit Application
F/anNng and Development Services
Building and Code Regulorion 1710blan
2300 V4914la Avenue Fort pierce FL 34982
Phone: 1772) 462-ISS3 Fax- (772) 462-1578
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: ',� IJA Cobblestone
RECEIVED
.1111 3;0`2019
Permitting Department
St. Lucie County
Commercial _ Residential X
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT
PropertyTax ID tl: _ 2326-600-
Lot No.
Site Plan Name:
Project Name: Block No.
Setbacks Front-
Z5___nbck• �R ght Side: r _ �..LG_ Left Side:
DETAILED DESCRIPTION OF WORK:
for new Single Family Residence Left /Right
5 Bed Bath Z Garage
RUCTION INFORMATION:
— cnecK au apply:
L)?iVAC U Gas Tank Gas Piping _ Shutters W Windows/Doors
Electric 0 Plumbing✓ Sprinklers Generator
rRoof Roof pRrh
21
at 54. Ft of Construction: `L. Ft. of First Floor 1 1 U`f
4
t of Construction: c gj `CJ
Utilities: Z Sewer Eleatic Building Height:
VNER/LESSEE:
ne D.R. Horton
ire! s:1430 Culver Drive NE
Palm Flay FL
State:_,_,
code:32907 Fax:321-733.7092
ne No. 321-733-2111 -
In fee simple Title Holder on next pace (If different
n the Owner tilted above)
of construction is $nag or more, a
CONTRACTOR:
Name: Brian W. Davidson
Company: D.FL Horton
Address: 1430 Culver Drive NE
City: Palm Say State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: MelboumepermNUng®DRHorton.com
State or County License: CRC1327058
Commencement is requUad.
SUPPLEMENTAL CONSTRUCTION LiEN LAW INFORMATION:
Name: Aactskncm„at.
Address: tatKR6MVR*8J' rd.
City, `a+°'r° d State: FL
Zip: '�'_s° ` Phone: CY-44 We
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name:
Address:
city:
ZIP' _Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address;•
city: State:
ZIP: Phone. - ---
BOiVflING COMPANY: Not Applicable
Name:
Address:
City:
ZIP: Phone:
1 certity that no work orinstaiiation has commenced prior to the Issuance of a permit,
St Lucie County makt g no representation that is granting a ppermit will a y�orite the permit holder to build the subject structure
which is in conflict with any appi(cable Home Owners Assacfetian rules, b aws or an covenants that may restrict or Prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions y restrict may apply,
In consideration of the granting of this re nested
in accordance with the approver! plans, the Florlda�Bu�ilding Codeseand St�a I will. In ail
Amendments.pt erform the work
luci
the following building permit applications are exempt from undergoing a fui1 concurrency review: room additions,
accessory structures, swimming pools, fences, w211s, signs, screen rooms and accessory uses to another nan•resMQntlai use
WARNING TO OWNER: Your faburs to Record a Notice of Commencement may rtsult in your paying twice For
improvements to your property. A Not(Ce of Commencement must be recorded and posted in the twice
for
before theng w inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Comm
Signature of Owner Lessee Contractor as Agent or Owner
STATE OF FLORIDA
COUNTY OF&4..d .
The fo oing instru ¢ t was acknowledg fore me
this 17 dayof My zo�:by
C Afaur Leam
(Name of person acknowledging 1
(Signature o otary�Publk• State of Florida 1
Personally Known l!% OR Produced identification
Type of Identification Produced
Commission No.
aos• •�•---F7aWry PuOfK State of
Sandra Leone
Revised 07/15/2019
A AAAA
5 nature a antractor
STATE OF FLORIDA
COUNTY 0
The forgoing instrument was acknowledgedi� etore me
J U I
this JZ day of 20 1 b
-by
(NameA.. acknowledging I
(Signature of Notary Public- State of Florida I
PersonallyKnawn �OR Produced Identification
Type of identification Produced
ra�a�
REVIEWS CTF OUNTER REV IEW
_� NG NG S p�jEW R I PLANS
REVIEW
INITIALS
Na, �` $� E�al%tatary Punic Slate ar
Sandra Leone
} ' My camnfaalon GG a
VEGETATION I SEA TURTLE MANGROVE
REVIEW I REVIEW REVIEW