HomeMy WebLinkAboutBUILDING PERMIT APPLICATRIONRECEIVED
AUG 0:2 2018
Y Permitting Department
r. s St. Lucie'County
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Dlvislcn
2300 Virginia Avenue, Fort Plerce FL 34982
Phone:1772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: � (L%2 I \ (A Ole v ei p� . ` ✓-{✓
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT (OR 3921
Property Tax it) a: 2326-600-
Site Plan Name:
Project Name: r
Setbacks FronQp 00 Back, W -0 Right Slde: 9,'I S� Leh Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
Bath
CONSTRUCTION INFORMATJON:
2 Garage
Lot No. 1
Block No.
/ Right
O(�
— v ... ��aaNnu�Ul—unerKair apply;
WAC Gas Tank Gas Piping _ Shutters ✓/ Windows/Doors
❑✓ Electric 21 Plumbing ✓Sprinklers Generator
Roof Root pitch
Total Sq. Ft of Construction: _ 3111 Sq. Ft. of First Floor: i O lq
Cost of Construction; n �5. UtilitiesSewer Q Septic Building height: _?
OWNER/LESSEE:
Name D.R. Horton
Addrer s:1430 Culver Drive NE
City: Palm Bay State:FL
Z(p Code: 32907 Fax; 321-733-7092 __..
Phone No. 321-733.2111
E-Mall: Meibaumepermitling®DRHorlon.com
Fill In fee simple Title holder an next page I If different
from the Owner listed above)
If value of construction Is $2500 or mare, a
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: MalbournepermHtkg®DRHarton.com
State or County License: CRC1327068
is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Name: Aeaeshin aww -- •rr..� ..ice
Address: U4fKffanaunaapmand.
City: L-4*md State: FL
Zip; 32750 , Phone: aor444=e `�—
FEE SIMPLE TITLE HOLDER: ` Not Applicable
Name:
Address:
Zip Phone:
MORTGAGE COMPANY: Name: �; Not Applicable
!
Address;•
city. State;
Zip. Phone: --- �—
DOMING COMPANY: —Not Applicable
Name:
Address:
city:
ZIP. .� Phone•
I certify that no work orinstallation has commenced prior to the Issuance of a permit;-
St.
Es !n conflictaw,t any appliablelHame Oat wners tAssgocfa�(ont�u(es bylawstor and covenants th�i mayi estrfcut or ohltr t such
structure. Please consult with your Home Owners Association and review your deed far any restrictions which may apply,
In consideratlon of the granting of this requested
In accordance with the approved plans, the Florida Building g codes and St..LLucie Couthat I nty AIn mendments.
The the work
The following building permit applications are exempt from undergoing a full concurrency review: roam additions,
accessory structures, swimming pools, fences, walls, sljns, screen rooms and accessory uses to another non•resldentla( use
WARNING TO OWNER: Your fafiure to Record a Notice of Commencement 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
COM nencing work or recordin Your Notice of Commencement.
Signature of Owner Lessee [ontrsctor as Agent or Owner S nature a ontractar Ucense Holder s
11 STATE OF FLORIDA
COUNTY OF&..w
The fo oing Instru e t was acknowledil fore me
this 1 dayof Jmy zoe to
(by
vur Lew
(Name of person acknowledging )
{SignaturZot ryy�Publk• State of Fic ida I
Personally Known C_,�; (_ OR Produced Identification
Type of Identification Produced
Commission No.
mar •p` e ry Putt t State of
Revised 07/15/2014 � "< �c`0� � Lei �m`aio
STATE OF Ff,ORIDq
COUNTY OF
The forgoing instrument was acknowledged before me
this .1Z day of 20 � by
r
{ ame of person acknowledging I
(Signature bf Notary Pubiic• State of FloRda) -
Personally Known �- OR Produced Identification
Type ofldentification Produced
REVIEWS FRONT , I ZONING 1 SUPERVISOR PLANS
I
COUNTER REVIEW I REVIEW REVIEW
INITIALS
NO.'— �.►*' 81%otary PUWC Stata of
. y Sandra Leona
aty Ca uwLsbon GG o
VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW I REVIEW