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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I c6 • _ I2ECEIyED Building Permit Application OCT 2 6 T018 Planning and Development Services Building and Cade Regulation Division � �eAamn 2300 Virginia Avenue, Fort Pierce FL 34982 • L dent Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 'hoc . C6bbIP-'A-oe,.e_ Legal Description: Creekside Plat NO. 1 (PB55-12) Lot ?4,(OR 3921-2362) 1 SCANNED Cobblestone Dr. BY Property Tax ID #: 2326-600- GCO— at l ldeG Yn of No.� Y Site Plan Name: Block No. Project Name: �/ Setbacks Front ' Back: LIe 1�ight Side: � Left Side: DETAILED DESCRIPTION OF WORK: Construction for new Single Family Residence raja Left ht CON RUCTION INFORMATION: Ptu Ml LIVII wuYrt w ue CIYVI IIMU unurY 19110 prrl nlu — LEMMA dIF dppry: �✓ HVAC Gas Tank ]Gas Piping _Shutters a Windows/Doors ✓Z EleAric Plumbing ZSpri lers IDGenerator R�ojof Roof pitch Total Sq. t of Construction:P2 S . Ft. of First Floor. Oc-V Cost of Construction: $ �Z /i - rl �. Utilities:�Sewer 0 Septic Building Height: 0 OWNERAESSEE: CONTRACTOR: Name D.R! Horton Name: Brian W. Davidson Address: 1,430 Culver Drive NE Company: D.R. Horton City: Palm Bay State: FL Address: 1430 Culver Drive NE Zip Code:l 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 IT value or construaian is !pzSuu or more, a MKORaEU Notice of commencement Is required. � r 1 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: L-I'Not Applicable Name: ABIDesign Group Inc Name: Address: 1441 N. Ronald Reagan Blvd. Address: City: Longwood State: FL City: State: Zip: 327501 Phone: 40744.607e Zip: Phone: FEE SIMPLE TITLEHOLDER: ZNot Applicable BONDING COMPANY: l/Not Applicable Name: Name: Address: I Address: City: I City: Zip: Phone: Zip: I 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 cbnflict 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 accordant a with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The followi ,g 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 commenalne work or recording vour Notice of Commencement. gnature of Owner/Lessee/Contractor as Agent STATE OF FLORIDA COUNTY OF a guard The forgoing instrument was acknowledged efore me this 24 day of September 20 / by !jA �D2 +�• L o r3C (Name of p rson acknowledging ) (Signature of Notary Public- State of Florida) Personally nown OR Produced Identification Type of Identification Produced Commission No. ISeall A!F.r._ -- s Signature of Contractor/License Holder STATE OF FLORIDA COUNTY OFa—wd The forgoing instrument was acknowledged before me this 24 day of September , 20 /'S by !SA t tp. Leo tJl- (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known „X,OR Produced Identification Type of Identification Produced mission No. _ Y lda �yyafYYY'r 'r - _ _ aY oyg ry - Pabttc„? a a1 Not Jr i ...,ar c•e, Nat;lry p.:"O.c State uP Ficrda Ncta _ a P"Y L'crnmiss, 2U 1° ;rt� i'atnrr us:on GG 02025 Revised 615/2014 °-'�'''=0 'q tiw Expucs �,, �`'kor`r�u Ezp.tes C'.a lOL^^02U L, or. r REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEWW, REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I►Iz�I�j INITIALS