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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: A. 2 n Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 RECEIVED Building Permit Applicatio 1 FEB 04 2020 ST. Lucie County, Permitting Commercial Residential x PERMITTYPE: SFR PROPOSED IMPROVEMENT LOCATION: " Address: 9300 Potomac Dr / /r Property Tax ID #: TBD = 7 50 0 % [ S' ©C0' 4r Lot No. 105 Site Plan Name: Creekside Plat #4 Block No. 01 Project Name: DETAILED DESCRIPTION OF WORK: Construction offaarnew single-family residence # of Bedroq! - # of Bathroom Garage Swing: LEFT CONSTRUCTION INFORMATION: Additional work to be performed under this permit— check ail that apply: X Mechanical _Gas Tank _Gas Piping _Shutters XWindows/Doors X Electric X Plumbing _Sprinklers _Generator X Roof Pitch Total Sq. Ft of Constructic, 20Sq. Ft. of First Floor: 1828 Cost of Construction: $ 100,540 Utilities: X Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name DR Horton Inc Name: Brian W. Davidson Address: 1430 Culver or NE Company: DR Horton Inc City: Palm Bay State: FL Zip Code: 32907 Fax: Phone No. 321-733-2111 Address: 1430 Culver or NE City: Palm Bay State: FL Zip Code: 32907 Fax: PhoneNo321-733-2111 E-Mail: Melbourneoermittina(a)drhorton.com 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: DESIGNER/ENGINEER: Name: AB Design Group Inc _Not Applicable MORTGAGE COMPANY: Name: X Not Applicable Address: 551 S Apollo Blvd, Address: City: Melbourne Zip:329O1 Phone:321-237-0436 State: FL City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: X Not Applicable BONDING COMPANY: Name: X Not Applicable 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 con, 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 110/ 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 before me this 6 dayof January 2020 by this 6 day 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 tm..m.g:gr; �_;:g (Signature of No ryq p�, aa e q,iF�o{��L� ` � (Signature of Notary Public -State of Florida ) ec- ._ MYCOMIISSICy 9 Ft i) No. - ai EXPIRESFeb�el) ssio Comm!!'—y R'=FFB"=5780(ypea F �C01IMy EX-pCommission "•°'t:�•' Bonded ihm ioterypuhlic Und= REVIEWS FRONT ZONING SUPERVISOR PLANS V9GrrA TGNG' rr =, MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED (S DATE COMPLETED