HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONE-Mail: Melbaumepermltting®DRliorton.cam
Fill in fee simple Tide Holder on next page ( if differe
from the Owner tilted above)
coratructlon Is $2500 or mace, a
SCANNED J -
Alt. APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION 70 BE ACCEPTED Q /� n - --^�
Date: Permit Number: V CJ 1 • arm Permit
St.
Planning and Development Services Building Permit Application
Building and Code Regulation Division
2300 Wfillaiu Avenue, Fort Pierce FL 34982 j
Phone: (772) 462-2553 Fax. (772) 462-1578 Commercial Residential , X _
PERMIT APPLICATION FOR: Building
PROPOSED_ IMPROVEMENT LOCATION:
Address: R 4. oY Cobblestone
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12)
Property Tax ID It;
Site Plan Name:
Project Name:
Setbacks Front
2326-600-
l0U —
Back; --1 1- -' Right Side: I I"' ' Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
Bed 2 -� Bath
CONSTRUCTION INFORMATION:
1z Garage
_..__.....� ps.,n.�—zne6Kall apply: --- - -
OWAC 11 Gas Tank Gas Piping _ Shutters LT_.I Windows/Doors
F✓ Electric 0 Plumbing V Sprinklers Generator Q Raol Floorpitch
.
Total Sq. Ft of Construction: �b3� Ft. of First Floor: _ . l�LS
Cost of Construction: c
Utilities.
Sewer n5eptic Building height: — Z
RECEIVED
f 10 2018
Departmetlt
e County
--iw� ®V-1
lot No.
Block No.
Left kN, Right
OWNER/LESSEE:
Name DR. Harlan Nerve: Brian W. Davidson
Addret5:1430 Culver Drive NECompany: D.R Harlon
City: Palm sayState: FLAddress: 1430 Culver Drive NE
Zip Code: 32907 Fax: 321-733.7092 City. Palm Bay FL
Phone No. 321-733-21 ITState-
-____
Zip Code: 82907 Fax: 321-733-7092
Phone No. 321.733-2111
it £-Mail: Metboumepermitt3ng®DRHortan.com
State or County License: CRC1327068
CONTRACTOR:
SUPPLEMENTAL CONSTRUCTION LiEN LAW INFORMATION:
Address: u4intn°eWRs&2mt)M
City. State: FL
Zip: Phone: wr444wa
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
ZIP: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
city. State'
Zip: Phone: ' �-----
BONDiNG COMPANY: —Not Applicable
Name:
Address:
city:
ZIP: Phone
I certify that no work Sor installation has commenced prior to the Issuanceofa permit,
which is In conflict with anye pplicablelHome Owners tAsssocfalionlrulesablaws or and covenants that build
or �otilbj� such
structure. Please consult with your Homeowners Assoclation and review.your deed for any restrictions which may apply,
in consideration of the granting of this requested permit, t do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit appNcations are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, sijns, screen rooms and accessary uses to another non-residentlai use
WARNING TO OWNER: Your failure to Record a Notice of Commencemant 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 before
Commencingwork or recordiniz Your Notice of Commencement.
Signature of Owner Lessee Contractor as ent or Owner s 5 »azure o antraclor Ucense bolder
STATE OF FLORIDA
COUNTY OFeia,w
The for�oing instru e t was acknowledge fore me
this 17 dayof �U�y 2F?by
��ts�aur l gam,
(Name of person acknowledglrtg 1
{Signature orriolary
Public- State of Florida
Personally Known a _-OR Produced Identincation
Type of Identification Produced
Commission No.
ry Pubic sts° of
LLII : Sandra Leone
Revised 07/15/2014
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged afore me
J U I
this JZ day of / 20 1 b
s y
l-Pt1rt.Q.
{Name of person acknowledging 1
•
(Signature of Notary Pubii,-- 5— fate f F'iorida
Personally Known � OR Produced Identincation
Type of identification Produced
..J.M
yr l/YYYY
Na. �^ �� �alj�tary PuaGc Slue of
Sandra Leone
1 ` My Canm{ubn Go 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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nw°h, �. I REVIEW