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BUILDING PERMIT APPLICATION
W ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I • �$� RECEIVED Building Permit Application Plaanhig and Development Services JUI 3,0 29io Building and Code Regulation olvislon Permitting Department 2300 Virginia Avenue, Fart Pierce FL 34982 St. Lucie County Phone:1772) 462-25S3 Fax: (772) 462-11578 Commercial Residential X PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address:--1. Cobblestone Dr. Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOTy4(01R 392 Property Tax ID#; 2326-600-"� Site Plan Name: Project Name: Setbacks Front Back; 37 • Rf ht 51de: g _ �-iJ teh Side: I� Lot No. ` .D Block No. DETAILED DESCRIPTION OF WORK: Construction for new Single Family Residence 1. t Left / Right Bed 2 Bath Garage CONSTRUCTION INFORMATION: - - -- -.1— • 443 K all apply; 0WAC Gas Tank Gas Piping _ Shutters o Windows/Doors iJ Electric ® Plumbing Sprinklers ❑ Generator — Sikl©Roof Roof pRrll Total Sq. Ft of Construction: I Z Ft. of First Floor. q Cost of Construction: S Ll7 Utilities: Sewer li5eptic Building Height: OWNER/LESSEE: Name D.R. Harlan Addrer s:1430 Culver Drive NE City: Palm Say State:FL Zip Code: 32907 Fax: 321-M7092 Phone No. 321-733-211i E-Mail: Melboumepennitling®DRHortan.com Fill in fee simple Title Holder on next pace (if different from the Owner listed above) CONTRACTOR: Name: Brian W. Davidson 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: MeibournepermBWng@DRHorlon.com State or County license: CRC1327068 is $U68 or more, a RECCROED Native of Commencement Is required. (PV41 LiEN LAW INFORMATION: Name: An000marsuptne Address: miKNeeawa.nantwe. City: Leeauooe. State: FL Zip: �2?" , Phone: w-Naore FEE SIMPLE TITLE Ht7l0ER: Not Applicable .Name: Address: city: Zip: phone: MURYGAGE COMPANY: �Nat Applicable Name: Address: City: State• Zip, Phone: • -;-- BONDING COMPANY: ,Not Applicable Name: Address: city: Zip: Phone: I certify that no -work Of Installation has commenced prior to the Issuance of a permit, St Lutle County'ma I, a representation that Is granting a permit will auYrarke the permit holder to build the subject structure which is In conflict with any applicable Home Owners Association rules, b laws nr and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Assoelatlonand review your deed tar any restrictions which may apply, In ao lderatIM of the granting of this re nested In accordance with the approved plans, the Fiorld78ullding Codes and SteLucle Couthat I lnity Arnendmentsperform the work The following building permit apANcatlons are exerom undergoing a full mncurrency review; room additions; accessory structures, swimming pools, fences, walls, sons, screen rooms and accessory uses to another nen•residentlai use WARNING TO OWNER: Your faliurs to Record a Notice of Commencement Improvements to your pproperty, A Notice may result in your paying twice for of Commencement must be recorded and posted on the jobsite before the first inspectlon. If you Intend to obtaln financing, consult with lender or an attorney before commencirig work or recording your Notice of Comm®.,, o.�e-• Signature ofth+mer Lessee ContrsctorasAgent ort]wner STATE OF FI.ORrDA COUNTY OFa••w The fa Ding instru e t was acknowledg fore me this 17 dayoF `lMy 20��by ��aur LQc�� (Name of person 'acknowledging) (Stgnatureo ota YPPublic-StateoiFiorida) Personally Known tit yyOR Produced identification Type of Identification Produte,d Commission No. o- e ry F+uW. Stsie of Revised 07/15/2O1A ? �'�°y `T,. 01 .1T20 5 nature o ontractor Ucense Holder 5 STATE OF FLORIDA COUNTY 0F9� The rorgoing instrument was acknowledged fo this J, day of J u I / 20- 1re me by efo I N a m e ofpers0n acknowledging I (Signature of NotaryPublic- State of Fiorlda } Personally Known r lz� OR Produced Identification Type of Identification Produced Fgm Sion No. ----�-�-.—., �+lsT spal)eatary PuLiic Slate of Sandra Leone t '�,�, ,�` rrtyCoaunfubeGGD REVIEWS FRONT ZONING SUPERVISOR PLANS COUNTER. REVIEW REVIEW REVIEW INITIALS VEGETATION I SEA TURTLE I MANGROVE REVIEW REVIEW j REVIEW