HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 10610 — lX
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i Building Permit Application RECEIVED
Planning and Development Services OCT 2 9 Zofn
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 Permitting Depart,,,,,
Phone' (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X st. Lucie Count
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:-Iqt . • Cobblestone Dr �C .
Legal Description: Creekside Plat NO. 1 (PB55-12) Lot (OR 3921-2362)
%SGANNED
Property Tax ID #: 2326-600- Dcoo - Z St W..I.,.. ,r+-,..nBy 01 No.
Site Plan Name: Block No.
Project Name:
Setbacks Front ZK' 2C) Back: _ �� Right Side: Left Side: /a,
DETAILED DESCRIPTION OF WORK: f
Construction for new Single Family Residence C'J2,,_• Left / Right
Coed Z__ ?Y%_A\1%. Z_ Gwm26_
CONSTRUCTION INFORMATION:
Additional, work to De nertormed under this perms —check all app y:
✓ZHVAC Gas Tank Gas Piping _Shutters ZWindows/Doors
ZElect ric 0 Plumbing Sprinklers 11 Generator Z Roof Roof pitch
Total Sq. Ft' of Construction: S . Ft. of First Floor: �'� (®
Cost of Construction: $ Utilities: Sewer Septic 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:FIL
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 the Owner listed above)
State or County License: CRC1327068
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
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MORTGAGE COMPANY: -_L/Not Applicable
Name: Design Group Inc
Name:
Address: 1441 N. Ronald Reagan Blvd
Address:
City: Longwoad State: FL
City: State:
Zip: 32756 Phone: 40744.6078
i
Zip: Phone:
FEE SIMPLE TITLE HOLDER: iZNot Applicable
BONDING COMPANY: 1 Not Applicable
Name: I
Name:
Address':
Address:
City:
City:
Zip: Phone:
Zip: I Phone:
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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. r
lease consult with your Home Owners Association and review your deed for any restrictions which may apply.
In conslde0tion 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
commencins work or recordine vour Notice of Commencement.
s
Signature of Owner/ essee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY iOF Brevard COUNTY OF 8re d
The forgoing instrument was acknowledged efore me The f r oing instrument was acknowledged before me
thisr day of _(�L% 20 by this day of �[ I 20 /c3 by
fjAJ, twop_'O, L-{ D nit. �>Jort +A L.>ed NI12
(Name of person acknowledging) (Name of person acknowledging)
(Signature 'I f Notary Public- State of Florida )
Personally Known . � OR Produced Identification
Type of Identification Produced
No.
%—'r -•
tvotaq PuItAc Sicte ct Ftanda
S&L_��
(Signature of Notary Public- State of Florida )
Personally Known �_ OR Produced Identification
Type of Identification Produced
No.
Natury P::`_fc Stato ut Florida
�20'161Revised 07/15/2014 s 4 ExC;ras C<;tO120 U '.`�`E,�p.res �
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