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BUILDING PERMIT APPLICATION
s- 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