HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APP IICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: I Permit Number:
CPU- i� SCANNED
BY
�I Building Permit Application 5tudecou0ii. 0i
Plonnih'g and Development Services "�I�j g
Build
sion .
Z300f ii' inia Avenue, Forts Pierceg and Code Regulaton 1FL 34982 St<U Dc Uhty enh
Phon : (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
l;
PROPOSED IMPROVEMENT LOCATION:
Address: �7 �� Gf3b��fo SdJIP ��' ✓�� It l
Legal Description: Creekside Plat NO. 1 (PB55-12) Lot (OR 3921-2362)
Cobblestone Dr.
Property Tax ID #: 2326-600- (D0?2Z, L-ADO —2. Lot No..
Site Ian Name: Block No.
Proj ict Name:
Setbacks Front O��' Back: ' I Right Side: L���Left Side: 1Z��
DETAILED DESCRIPTION OF WORK:
11 o struction for new Single Family Residence Left / fight
CONSTRUCTION INFORMATION:
A�diflonal work to e e orme un er (his permit —checka apply:
�✓ HVAC 11 Gas Tank Gas Piping _ Shutters Windows/Doors
�✓ Electric 0 Plumbing rinklers E] Generator Z Roof Roof pitch
I:
T tal Sq. Ft of Construction: 3z3s S . Ft. of First Floor: l
C1, st of Construction: $ ( _ Utilities: Sewer DSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
D.R. Horton
Name: Brian W. Davidson
lame
'ddress: 1430 Culver Drive NE
Company: D.R. Horton
City: Palm Bay State: FL
Address: 1430 Culver Drive NE
32907 321-733-7092
Zip Code: Fax:
Palm Bay FL
City: y State:
hone No. 321-733-2111
Zip Code: 32907 Fax: 321-733-7092
E-Mail: Melboumepermitting@DRHorton.com
Phone No. 321-733-2111
Fill in fee simple Title Holder on next page ( if different
E-Mail: Melboumepermitting@DRHorton.com
,from the Owner listed above)
State or County License: CRC1327068
If value of construction is 525110 or more, a RECORDED Notice of Commencement is required.
SUPPLE' ENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNEIR/ENGINEER: Not Applicable
I —
MORTGAGE COMPANY: 'Not Applicable
—
Name: A8loes!9nGr0up1nc
Name:
Address: 1441 N. Ronald Reagan Blvd
Address:
City: Longyvood State: FL
City: State:
Zip: 32750 Phone: 407-44-6078
II
Zip: Phone:
FEE SIMPLE TITLEHOLDER: AZNot Applicable
BONDING COMPANY: 1/Not Applicable
Name
Name:
Address i
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify t at no work or installation has commenced prior to the issuance of a permit.
St. Lucie ountyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is i conflict with any applicable Home Owners Association rules; bylaws or and covenants that may restrict or prohibit such
structure Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consid ration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The folio' ing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure 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
beforelthe first inspection. If you intend to obtain financing, consult with lender or an attorney before
Comm mcing work or recording our Notice of Commencement.
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Signatu a of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATEI OF FLORIDA STATE OF FLORIDA
COUN OFOfe COUNTY OFa—d
The fo going instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this 24 day of September 20 / by this 24 day of September 20 /5 by
A N172.►l�. �--r. p rJt �g1J�7fZ.1o, L.>Eo NCZ
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification Personally Known �_ OR Produced Identification
Type of Identification Produced Type of Identification Produced
I
Com fission No. S Commission No.(Seal
Y ate ul
Flood,
a Nctosy p�5!ic 5t � .�., y.,� Nctary B :.Pc Sfctc uP F;cnd�
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20120Riced 07/15/l
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