HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: U " 1_CA 3
I
•
RECEIVED
Building Permit Application
Planning, and Development Services OCT 2 i018
r Building and Code Regulation Division permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie county
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: SCANNED
Building
BY
PROPOSED IMPROVEMENT LOCATION: St Lucie Caunto
Address:
Legal Description: Creekside Plat NO. 1 (PB55-12) Lot2 (OR 3921-2362)
Cobblestone Dr.
Property Tax ID #. 2326-600-®p2-g -- ()CC) — $ Lot No. Z
Site Plan Name: Block No.
Project Name:
Setbacks I Front ' Zo Back: •3 Right Side: Sr Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence C°aj� Ler Right
Cie d 2 �w,�1,, 2 Gw2a
CONSTRUCTION INFORMATION:
Adclitional work to De performea under this permit — check all apply:
RJHVAC 11 Gas Tank Gas Piping Shutters Windows/Doors
✓Z Electric ❑✓1 Plumbing P(ISprinklers [] Generator Z Roof Roof pitch
Total Sq. Ft of Construction: MI— S . Ft. of First Floor:
Cost of Construction: $ . Z� U, ") Utilities:ZSewer []Septic Building Height:
I a s.aa.sG
OWNER/LESSEE:
CONTRACTOR:
Name D.R. Morton
Name: Brian W. Davidson
Address: 1430 Culver Drive NE
Company: D.R. Morton
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 the Owner listed above)
State or County License: CRC1327068
If value of construction Is 5Z50o or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: L/Not Applicable
Name: Ae Design Group Inc
Name:
Address: 1441 N. Ronald Reagan Blvd.
Address:
City: Longwood State: FL
City: State:
Zip: 327501 Phone: 407.44-607e
Zip: Phone:
FEE SIMPLE TITLE HOLDER: AZNot Applicable
BONDING COMPANY: t/Not Applicable
Name:
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 conside lation 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
commencine work or recordine vour Notice of Commencement.
s
ractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY O F e—ard
The forgoing instrument was acknowledgedyefore me
this 24 day of September zp. by
STATE OF FLORIDA
COUNTY OFa d
The forgoing instrument was acknowledged before me
this 24 day of September . 20 /5 by
ON NIye ta. L e 0 t)t- I !Sg► rZ to• LEo N(2
(Name of person acknowledging) (Name of person acknowledging)
(Signature '!of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Idei tification Produced
Commission No.
YV
nctnry g4ylic St. ie ul Ficnda
(Signature of Notary Public- State of Florida )
Personally Known �_ OR Produced Identification
Type of Identification Produced
mission No.
,,t* r^Q, Nalary P.:;Cc State of Ronda
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