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.
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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.
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aY oyg ry -
Pabttc„? a a1 Not Jr
i ...,ar c•e, Nat;lry p.:"O.c State uP Ficrda
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_ 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
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
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DATE
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INITIALS