HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFOMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r24eq-40 a-0. Permit Number: Q, yoa- 0DS
Building Permit Appli ation FEB 3 2020
Planning and Development Services Permittin Department
Building and Code Regulation Division g
2300VirginioAvenue,Fort Pierce FL34982 St. ucie County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re '
PERMIT TYPE: SFR
PROPOSED IMPROVEMENT, LOCATION:
Address: 3222 Trinity Cir
Property Tax ID#: TBD Z`y V Y%�-y C/� ouO:� Lot No. 54
Site Plan Name: Creekside Plat #4 Block No.
#1 Project Name:
DETAILED DESCRIPTION OF WORK:
Construction of a new single-family residence
# of Bedrooms�4,m # of Bathrooms: 2 # of Garages: 2
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 F
Total Sq. Ft of Construction:"236�2- Sq. Ft. of First Floor: 1828
Cost of Construction: $ 100,640 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
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
Phone No321-733-2111
E-Mail: Melbourneoermitting(cDdrhorton.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.
4,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:.
DESIGNER/ENGINEER: _Not Applicable
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:
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 Countyy 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
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
POSTED ONITHE JJOB SITE BEFORE THE FIRST IINSPECTIION.IFOYOU INTEND TO OBTAINS FINANCING CONSULDT
WITH YOUR LENDERORANATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCENI NT."
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 day of January 2020 by
this 6 day of January , 20201by
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 _
'a �/"' DINAPARRIPio
:iK•' �''�t:;
Commission No. "; _ :r MYCOMMIrMy FF957&50
�; XPIRES: February 27, 2020
.. ' Bon can Thru Notary Public UndarwGlars
(Signature of Notary Public- State of Florida )
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