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Permit Number: LDOZ—L/�S�
Date: U —
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Building Permit Application FEB •Q4 ZOZO
Planning and Development Services Permlttlho Doponinent
St. Lucle County
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Commercial Residential x
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: SFR
PROPOSED IMPROVEMENT. LOCATION:.
Address: 3201 Trinity Cir
-000%0 Lot No. 66
PropertyTaxlD#: TBD 2329-b(A-nntiJ4
Site Plan Name: Creekside Plat #4 Block No.
#1 Project Name:
DETAIL ED DESCRIPTION,OF WORK:
Construction of a new single-family residence
# of Bedrooms: 4 # of Bathrooms: 2 # of Garages: 2
Garage Swing: LEFT
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
X Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
X Electric X Plumbing _Sprinklers _Generator _X__Roof Pitch
Total Sq. Ft of Construction: 2442 Sq. Ft. of First Floor: 1916
Cost of Construction: $ 105 ,380 Utilities: X Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DR Horton Inc
Name: Brian W. Davidson
Company: DR Horton Inc
Address: 1430 Culver Dr NE
City: Palm Bay
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Cade: 32907 ���State:FL
ax:
Phone No. 321-733-2111
Zip Code: 32907 Fax:
E-Mail: Melbourneoermittinona drhorton com
Phone No 321-733-2111
E-Mail Melbournepermitting@drhorton.com
Fill in fee simple Title Holder on next page ( if different
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.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION' LIEN, LAW NIF.ORMATIO ,
DESIGNER/ENGINEER: _Not Applicable
Name: AB Design Group Inc
Address: 5515 Apollo Blvd,
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: Melbourne State: FL
Zip:32901 Phone:321-237-0436'
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X Not Applicable
Name:
Address:
Address:
City: — —
City:
Zip: Phone:
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 2020by
this 6day of January 2020by
Brian W. Davidson
Brian W. Davidson
Name of person making statement.
Name of person making statement.
Personally Known _V_ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary
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(Signature of Nota atsd} rida )
Commission No.
`.= MY COMMISSION W FF 957800
EXPIRES:�bg qry 27, 2020
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