HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: Permit Number: 1 -
SCANNED
- BY
Building Permit Application St Lucie CountyRECEIVED
Planning and Development Services
Building and Code Regulation Division OCT'24 2018
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resid"Ita 9.Npartingnt
PERMIT, APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: Cobblestone Dr 1
Legal Description: Creekside Plat NO. 1 (PB55-12) Lot (OR 3921-2362)
Property Tax ID #: 2326-600- (0053 _ ppp— Lot No. 42
Site Plan Name: Block No.
Project Name:
Setbacks Front��Back: ight Side: B 10 Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence uAu &)Right
CONSTRUCTION INFORMATION:
A00IU011ai WUMIU Ue t!U1U iIICU UIIUCI LIM) iJCIIIII L—LIICLK4311 CIPPly.
✓ZHVAC Gas Tank ❑Gas Piping 'Shutters R1 Windows/Doors
✓� Electric 0 Plumbing Sprinklers E]Generator Z Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor: �b2�
Cost of Construction: $ Utilities. Sewer DSeptic. Building Height: I
'Ell 11 T'f.1_
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@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.
-4:15(100
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SUPPLE MENTALCONSTRUCTION LIEN LAW INFORMATION:.'
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: i/Not Applicable
Name: AAoesignGrcupinc
Name:
Address: 1441 N.Ronald Reagan Blvd.
Address:
City: Longwood State: FL
City: State:
Zip: 32750 Phone: 40744.6078
Zip: Phone:
FEE SIMPLE TITLEHOLDER: AZNot Applicable
BONDING COMPANY: 1..rNot Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
i
I certify that no work or installation has commenced prior -to the issuance of a permit.
5 ..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 stIructures, 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
as Agent for Owner Signature of Contractor/License Holder
STATE OFiFLORIDA
COUNTY O F Brovord
The for oing instrument was acknowledged efore me
this day of 0(tr 20 by
STATE OF FLORIDA
COUNTY OFa—,d
The forgoing instrument as acknowledged before me
this w,4fl day of 20 //? by
SA iswoe>A L- e D fit- SA � to- Leo 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 Y14 OR Produced identification Personally Knownl OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.
mission No.
to ut Ftanda t�.R./�1'�.�YYv-r -r i T - - -
at ?;,A Nctary p,ibllc =' cq , yv s; Nntnry Pltr`r, State ul Fiorda
Yn"t02025 tGG 02 so i1o'npRevised 07/15/2014
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