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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONs-
ALL APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: tsQJ • O�
• RECEIVED
Building Permit Application
Planning and Development SerWces JUL 3,.0 2018
Building and Code Regulation tNvislan
2300 Virginia Avenuk Fort Pierce FL 34982 Permitting Department
Phone: (772) 462-1553 Fax. (772) 462-1578 Commercial Residential �,�cie county
If I PERMIT APPLICATION FOR: Building 1l
Address:
ENT LOCATI ON:
Cobblestone Dr.
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT510R 3921-2362)
Property Tax ID lt: 2326-600- 0(y l —
Lot
Site Plan Name:
Project Name:
Setbacks Froi
Back:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
Bed D. Bath
CONSTRUCTION INFORMATION:
Side: I ' Left Side:
C_WLU
QGarage
Block No.
Left) / Right
O- -- -- - -..- - .. . 1W%1 6441.1 - cnecx an apply;
WAC Gas Tank as Piping —Shutters Q Windows/Doors
❑✓ Electric 91 Plumbing ✓ Sprinklers Q Generator © Roof Roof pM:h
Total Sq. Ft of Construction: Ft. of First Fluor:
b2 bast of Construction: c 1 • 6 Utilities] Sewer Useptic Building Height: _
OWNER/LESSEE:
Name D.R. Horton
Addrer s:1430 Culver Drive NE
City: Palm Say State
Zip Code: 32907 Fax: 321-733-709-2
Phone No. 321-733-211!
E•Mail: Meibaumepermitting®DRHorlon.ram
Fill In fee simple Title Haider on next page (if different
front the Owner Ilded above)
CONTRACTOR:
Name: Brian W. Devwson
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-Mall: MalbournepermMkKQORHorton.com
State or County License: CRC1327068
Of construction Is $2500 or more, a RECORDED Notice of commencement
SUPPLEMENTAL
LIEN LAW INFORMATION:
Name: me"I GoamW — -- •�r•...o..�
Address: tatKtian.uts„s�;t
City: tW'°'"ood State: FL
Zip: as , Phone: =444=a ^-
FEE SIMPLE TITLt HOLDER: Not Applicable
Name:
Address: .
City: .
zip: Phone'
MORTGAGE COMPANY: Not Applicable
Name:
Address:
city- State:
Zip: Phone' .. -- -.
tsulvulNG COMPANY: ,Not Appllcable
Name:
Address:
city:
Zip: �� Phone•
1 certlN that no work orinstauation has commenced prior to, the Issuance of a permit,
St !ucle Countyy make no rtprescntatlon that Is granting a'
ermit will authorise the ermit holder to build the subject structure
which is In conflict wit any appllcabie Mome Owners Assoction rules b I
structure. Please consult with your Home Owners Associatlonand revlewyour'deed for any restr halm y resich may apply.
y aws or an covenants that may restrict orprahlbit such
In consideratfan oP the granting of this requested permit, t do hereby agree that I will, In all respects, per{orrn the wor
!n accordance with the approved plans, the Florida guliding Codes and St. Lucie County Amendments.
The following building permit appocations are exempt from undergoing a full le Count
A review: room additions,
accessary structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non•resfdentlal use
WARNING TO OWNER: Your faAura to Record a Notice of Commencement may rt anult (n your paying alai u 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 Oran attorney before
commencing work or recording our Notice of Comman—.
Signature o40wner
ssee Contractor as Agent or Owner
STATE OF FLORIDA
COUNTY OF&-,-d
The forgoing Instru e t was acknowledg fore me
this 17 dayof �u�Y 20by
tyur Law
(Name of person acknowledging)
(Signature o Diary Publk• State of Florida J
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
trr&I "Ifawrypuw'iStoleW
oy
t jl Sandra Leona .
Revised 07/IS/2014 : ° �� �E'°a:e aet_tuz —
S nature a antmctor License Hider s
STATE OF FLORIDA
COUNTY OF"w
The rorgoing Instrument was acknowledg before me
thls JZ day of — J U lji� 20 �8 by
dew �•er,rt�
(Name of person acknowledging }
Jc
(signature of Notary Pubilc- State of Florida j
Personally Known S! - OR Produced Identification
Type of Identification Produced
REVIEWS FRONT ZONING SUPERVISOR PLANS
COUNTER. REVIEW REVIEW REVIEW it rp
INITIALS
NO. _ al)4waty Pus c $tat. c
Sandra Leone
&fy C*nn iubn cm a
t»
VEGETATION SEATURTLEFMAkGROVEREVIEW REVIEWEW