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Home My WebLink AboutBuilding Permit Applicationr i All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED p� Date: rsu 62,o- Permit Number: ep2 1,) 44) g Building Permit Applicatior6EB 4 2020 Planning and Development Services Permitting Department Building and Code Regulation Division g p 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMITTYPE: SFR PROPOSED IMPROVEMENT LOCATION: Address: 9228 Potomac Dr PropertyTax ID #: TBD a3,Z7. 5' 0,2-0) ) 2-000 ? Site Plan Name: Creekside Plat #4 #1 Project DETAILED DESCRIPTION OF WORK: Construction of a new single-family residence # of Bedrooms: 5 # of Bathrooms: 4 # of Garages: 2 Garage Swing: LEFT CONSTRUCTION INFORMATION: Additional work to be performed under this permit — check all that apply: Lot No. 104 Block No. X Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors X Electric X Plumbing _Sprinklers _Generator X Roof Pitch Total Sq. Ft of Construction: 3233 Sq. Ft. of First Floor: 2601 Cost of Construction: $ 143,055 Utilities: X Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR:, , Name DR Horton Inc Name: Brian W. Davidson Address: 1430 Culver Dr NE �' ' Company: DR Horton Inc City: Palm Bay State: FL Zip Code: 32907 Fax: Phone No. 321-733-2111 E-Mail: Melbourneoermittina()drhorton.com Address: 1430 Culver Dr NE City: Palm Bay State: FL Zip Code: 32907 Fax: Phone No321-733-2111 Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail Melbournepermitting@drhorton.com State or County License CRC1327068 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: INEER: _Not Applicable I MORTGAGE COMPANY: X Not Applicable Name: AB Design Group Inc Name: Address: 551 S Apollo Blvd, Address: City: Melbourne State: FL City: State: Zip:32901 Phone:321-237-0436 Zip: Phone: FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable Name: Name: Address: Address: ro•... — r— r:,... Zip: Phone: I Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 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 structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF BREVARD COUNTY OF BREVARD The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged beforeme this 6 dayof January 202oby this 6day of January 2020by Brian W. Davidson Brian W. Davidson Name of person making statement. Name of person making statement. Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signatu ;d,^.FF�,or�ida) ra �,=Febiui (Signatur of i - 5 ate of Florida;:`teY27� 20Lu "*!"rCommis rt�iQ&O BUcdera(Sea[ Commissi _uN ��= MYCOSI VpFFs57s0ASe ) Nam' 27, 2020 Bonded Thru Nofa pury2 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED