HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
:County,
EIVED
Building Permit Application 02 9 2018
Planning and Development Services
Building.and Code Regulation Division ST. LuciPermi2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resided
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: _
Address:.�U Ci i �_ 3K t — 4
Legal Description: Creekside Plat NO. 1 (PB55-12) Lot, `(OR 3921-2362)
Cobblestone Dr:
Property Tax ID #: 2326-600- L961 to — ppp — 2 Lot No. —7i
Site Plan Name: Block No.
Project Name:
Setbacks Front 2'5' Zf� Back:
II Right Side: .(01 Left Side: __4_Z�, V7
DETAILED DESCRIPTION OF WORK: -L'0„ t
Construction for new Single Family Residence Cap�
Left j Right
Cie C\ �p,�c1,� . Z Gw.2a
CONSTRUCTION INFORMATION:
Additionat work to be narloirnea un er this permit—c ec a [n,,appiy:
Z✓ HVAC Gas Tank Gas Piping Shutters aWindows/Doors
✓� Electric Plumbing Sprinklers E_Generator Z Roof Roof pitch
Total Sq. Ft of Construction: 7�7-44Q_ __ 5 . Ft. of First Floor:
Cost of Construction: $ �29; q�tD • Utilities:ZSewer DSeptic Building Height:
r,
OWNERAESSEE:
CONTRACTOR:
Name D.R. Horton
Name: Brian W. Davidson
Address:1 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@DRHorton.com
Phone No. 321-733-2111
Fill in fee simple Title Holder on next page (if different
E-Mail: Melboumepermitting@DRHorton.com
from they Owner listed above)
State or County License: CRC1327068
IT Value oT constructlon is �iZSuu or more, a RECORDED Notice at Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: v, -Not Applicable
Namet ABoesignGroupinc
Name:
Address: 1441 N Ronald Reagan Blvd
Address:
City: Longwood State: FL
City: State:
Zip:32SO Phone:407-44.sa78
Zip: Phone:
FEE SIMPLE TITLE HOLDER: +ZNot Applicable
BONDING COMPANY: i_%Not Applicable
Namet
Name:
Address:
Address:
City: '
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
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 prohibit such
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 following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory 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
before !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
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Idrevcm
STATE OF FLORIDA
COUNTY OF9—d
The forgoing instrument was acknowledged, efore me The forgoing instrument was acknowledged before me
this 24; day of September 20 /D by this 24 day of September 20 /5 by
`jA, �Iy121A L e O f') :SA>Zat 11. Led NQ.
(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
Type of Identification Produced
No.
Personally Known �_ OR Produced Identification
Type of Identification Produced
mmission No.
` Y � �Pnbf• c e o1 Ftoad3 rl^v r��r�vv
aT ;:,�• t.ctary �" "1Qt ,aY?•s, N113ry P :tic State of F1or;d�
e o ,, �cn GG 02 =u
GG 020251
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Revise 07/15/2014 si4`°� Exr.;r�zi ;1�1 aor'i�u� Ezp.;c.�'r1o1:02U
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