HomeMy WebLinkAboutBUILDING PERMIT APPLICATION►�6 s U
ALL APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' Permit Number: l 0o r • 0�"1$
RECEIVED
Building Permit Application nil 3 o note Planning and development Services
Building and Code Regulation Division Permitting Department
2300 Wrglrria Avenun Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax.: (772) 462-1578 Commercial � Residential R
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION. -
Address: '-1 nk4 Cobblestone Dr.
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT_'_S6OR 3921-2362)
Property Tax lD tt: 2326-600- ` UO2) (,1W lot -----
Site Plan Name:
Project Name: Block No. _ _
Setbacks Front '—Back ' v Right Side: -eft Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence Left / Right
Bed —Bath Garage
CONSTRUCTION INFORMATION:
- - -- ��� .,.�, r,eun,i [f1BCK an mai � appiy;
Mr
Gas Tank Gas Piping _ 5hutters 21 Windows/Doors
Electric Plumbing ✓ Sprinklers
n � Generator �i...l n
Roof � Rootpttrlr
Total Sq. Ft of Construction: . Ft. of First Floor:
1-3
Cast of Construction: r
i �' Utilities: Sewer liseptic Building Height:
OWNER/LESSEE:
Name DA. Horton
Addre! s:1430 CUlver Drive NE
City: Palm Bay State;FL
Zip code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mall: M8buumePwmlhing@DRHartan.com
Fill In Pea simple Title Holder an next page I if different
from the Owner listed above)
CONTRACTOR:
Name: Bdan W. Davldaon
Company: a•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: MeiboumepermORHorton.com
State or County License: CRC1327058
conrtructlon Is $2500 or more, a RECORDED Notice of Commencement b
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: ABOesknonmtee -- rr••w�+�
Address: aatN.naa.tsaa�.�br„s
City: Lwaawd . State: R.
Zip: airso Phone:�+-0orn "---
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name:
Address:
City:
ZIP: _ Phone•
MORTGAGE COMPANY: — Not Applicable
!I Name:
Address:
City State:
ZIP: Phone:
-------
BONDING COMPANY: t Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the Issuance of a permit,
St Lucie Countyy makes no representation that Is granting a permit wilt aul�torize the permit holder to build the subject structure
which is in conflFct with aoy applicable Home t7wnrrs Association rules, by aws or and covenants that may restrict or prohibit Such
structure. Please consult with your Home Owners Assoclatlon and review your deed for any restrictions y ichres may apply.
In consideration of the grantng of this requested permit, ! da hereby agree that I will- in all respects, perform the work
in accordance with the approved plans, the Fforlda Building Codes and St. Lucie County Amendments.
The following 6ullding permit appHcattons are exempt from undergoing a a(uli cancurrency review; room additions,
ccessory structures, swimming pools, fences, walls, s><ns, screen rooms and accessory uses to another non•resldentlal use
WARNING TO OWNER: Your failure to Record a Notice of commencement tray resttit In your paying twice For
Improvements to your property. A Notice of Commencement must be recorded and posted in the twice
for
before the first inspection. If you Intend to obtain financing, consult with lender or an attornev befnra
commencen work or recordin our Notice of
9 nature of Owner Lessee—ludctorasAgent lort]wner
STATE OF FLORIDA
COUNTY OFsnmd
The forg�roing Ins tru e t was acknowtedg fore me
this 17 day of u�Y 20by
Person
finally Ifnown a OR Produced ldentiRcation
of Identification Produced
mission No.
5 nature o ontractor License Helder s
STATE OF FLORIDA
COUNTY OF a ••w
The forgoing instrument was acknowledged efore me
this 7 day of 20 1 b
�. y
Warne of person acknowledging j"
(Signature of Notary PuhiFc-State of Plorlda j
Personally Known OR Produced Identification
Type of Identification Predue.d
01.1 --Mabry PuOhtState of m
ti Sandra Leone
07/15/2014 .7000%
E pbasCBIIW2020 t
FRONT ZONING
COUNTER REVIEW
SUPERVISOR PLANS
REVIEW REVIEW
No. _ : al)4atary Pubw State
Sandra Leone
a a` My Conurdulon GG 0
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW j REVIEW