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INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: I W . WD&
RECEIVED
Building Permit Application OCT:2:0 2018
Planning ing and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:-- (0I C_%J_b�a574V_ A ID r 19(i" t�Cit.C�2 �qjH
Legal Description: Creekside Plat NO. 1 (PB55-12) Lot (OR 3921-2362)
Cobblestone Dr.
Property Tax ID #: 2326-600- Qbn q— OCr0 Lot No.� _
Site Plan Name: Block No.
Project) Name: SCANNED
Setbacks Front Back: I Right Side: /Z• Left Side: 12�� BY
DETAILED DESCRIPTION OF WORK: St tacratloun
Construction for new Single Family Residence L�Ki;eft)R
fight
CONSTRUCTION INFORMATION:
i nalworKtobegerformect under Ms permit -check a app y:
✓� I VAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
✓� Electric ❑✓_ Plumbing Sprinklers E Generator Z Roof Roof pitch
Total Sq. Ft of Construction: V S . Ft. of First Floor:
Cost of Construction: $ 3 O 0-Atilities:oSewer DSeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name D.R. Horton
Name: Brian W. Davidson
Address: 1430 Culver Drive NE
Company: D.R. Horton
City: Palm Bay State: FL.
Address: 1430 Culver Drive NE
Zip Code: 32907 Fax: 321-733-7092
City: Palm Bay State: FL
Phone No. 321-733-2111
Zip Code: 32907 Fax: 321-733-7092
E-Mail. Melboumepermitting@DRHorion.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
It value of construction is 5Z500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI jNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Lo"Not Applicable
Name,: As oesign Group Inc Name:
Address: 1441 N. Ronald Reagan Blvd. Address:
City: 4ngwood State: FL City: State:
Zip: 3�750 Phone: 40744.6078 Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable
Addi
City:
Zip:.
ss:
Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that'no work or installation has.commenced prior to the issuance of a permit.
Applicable
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibltsuch
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration 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 fol owing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessi ory 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
beforg the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement.
..� s
re of owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA I STATE OF FLORIDA
COLIN, OF 8--d COUNTY OF 9—d
The forgoing instrument was acknowledged efore me The forgoing instrument was acknowledged before me
this ?4 day of September 20. by I this 24 day of September 20 /5 by
A i�P2� Lam. O rZk !!SA)Ziat v0• L0--- l) NC 2—
(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
Commission No. (S Commission No. Se
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B :ttc State of Florida
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Revised 07/15/2014 y` 'ti x{are,e s10;20 r cX apse!"ti0!.)20
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