HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
r
1�
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p 1,
Permit Number: 0 0 — DOC;`
�J���� RECEIVED
II. too
Building Permit Application �� ��IN OCT.2 g 2010
Planning and Development Services n�
Buil�rng and Code Regulation Division , Permitting Department
1300 OF Avenue, Fort Pierce FL 34982 St. Lucie County
11
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT
APPLICATION FOR: Building
PROPOSED
IMPROVEMENT LOCATION:
Legal bescription: Creekside Plat NO. 1 (PB55-12) Lot J_j(OR 3921-2362)
Cobblestone Dr.
Propelhty Tax ID #: 2326-600- OQ 1j2,— D 00 Lot No.
Site Plan Name: Block No.
Pr oje It Name:
Setbal ks Front � ' Back: 24S_ Right Side: Left Side: 7,
il
DETAILED DESCRIPTION OF WORK:
:onsfruction for new Single Family Residence k�jh(A �Left)Right
1�
1 5 6ea -,, Gw2a
CON TRUCTION INFORMATION:
Additl'
Iona war -to e e orme under this permit — check a apply:
✓01 11 Gas Tank []Gas Piping _ Shutters a Windows/Doors
�✓ Electric ❑✓_ Plumbing Sprinklers El Generator Roof Roof p h
Total Sq Ft of Construction: 3-L'53 5 . Ft. of First Floor: 1O
Cost of Construction: $ _,� tilities:Sewer ElSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name O.R. Horton
Name: Brian W. Davidson
Addre 1 .1430 Culver Drive NE
Company: D.R. Horton
City: TaIrn Bay State: FL
Address: 1430 Culver Drive NE
Zip d. de: 32907 Fax: 321-733-7092
City: Palm Bay State: FL
Phone', No. 321-733-2111
Zip Code: 32907 Fax: 321-733-7092
E-Ma! : Melboumepenmitting@DRHorton.com
Phone No. 321-733-2111
Fill in I'fee simple Title Holder on next page ( if different
E-Mail: Melboumepermitting@DRHorton.com
from heownerlisted above)
State or County License: CRC1327068
it vaiuej of construction is �zwu or more, a RECORDED Notice of Commencement is required.
rMo
S6PP'F
EMENTAL`CONSTROCTION LIEN LAW.INFORMATION:
DESIG
Namel
Add re
City:
Zip: 3z
III
ER/ENGINEER: _ Not Applicable
AB Design Group Inc
MORTGAGE COMPANY: Z-'"Not Applicable
Name:
Address:
City: State:
Zip: Phone:
S:1441N- Ronald Reagan Blvd-
ngwood State: FL
1so Phone: 407-44.8078
FEE S11
Name"
Add re'
City'
Zip:
PILE TITLE HOLDER: iZNot Applicable
BONDING COMPANY: l%Not Applicable
Name:
Address:
City:
s:
Phone:
Zip: Phone:
I certi that no work or installation has commenced prior to the issuance of a permit.
St. Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i' in conflict with any applicable Home Owners Association rules; bylaws or and covenants that may restrict or prohibit such
structu' ' . Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consiI eration of the granting of this requested permit, I do hereby agree that I will, in all respects,, perform the work
in acco ance'with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foil' wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso'+iy structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARA ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imps ements 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
comm' ncing work or recording vour Notice of Commencement.
s
Signatu a of Owner/lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATEI OF FLORIDA STATE OF FLORIDA
COLIN OF 9revard COUNTY OF erevard
The fot Ding instrument was acknowledge), before me The forgoing instrument was acknowledged before me
this 2 41, day of September 20 / by this 24 day of September 20 / by
ilula2-A L -- p nit,
(NamI person acknowledging )
State
!Sg)ZIat ra Leo NQ.
(Name of person acknowledging)
(Signature of Notary Public- State of Florida }
Person) Illy Known \ OR Produced Identification
Identification Produced I Personally Known OR Produced Identification
Type o ; Type of Identification Produced
Commi 'sion No. S Commission No. Se
to o! Fier'da
e[ r y t.ctory pab"c...,� Nato P.:;t;.c stote of Fierda
I I�cmniss3 CiFGG 020251 �U lO!:U2UtcExpaesCiRevt d 07/15/2014. exc�
a�.tifr ...►,h,�T1%av
REVI
WS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE,
COMP
ETE
INITIA