HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number';ZDvP^
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: SFR
PROPOSED IMPROVEMENT LOCATION:
Address: 9229 Potomac Dr
PropertyTax ID #: 2327-502-0066-000-1 Lot No. 58
Site Plan Name: Creekside Plat # 4 Block No.
#1 Prniart Namp-
Construction of •• hII\t$ U A Y 1 1
MI
Bedrooms: of C •• of
Garage• • •
�7 �.
I CONSTRUCTION INFORMATION: I
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: 2362 Sq. 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 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 No 321-733-2111
E-Mail: Melboumeoermittina(cdrhorton.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.
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
• tiFp
FF6 .
Building Permit Applicati n Perynjhi
090
B04?07
Planning Development uilding and Code Regulation Division Count ent
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial esidential X
PERMIT TYPE: SFR
PROPOSED IMPROVEMENT LOCATION:
Addres ::!92251Potomac Drive
PropertyTax ID #: 3-0 •!50a Lot No. 58
Site Plan Name: Creekside Plat #4 Block No.
#1 Project Name:
DETAILED DESCRIPTION OF WORK:' \ V'
Construction of a new single-family residence
# of Bedrooms: 4 # of Bathrooms: # of Garages: 2
Garage Swing: RIGHT
L CONSTROCTION'.INFORMATIOV
Additional work to be performed rider this permit —check all that apply:
X Mechanical G sTank —Gas Piping _Shutters X Windows/Doors
X Electric lumbing S riFiklers _Generator X Roof Pitch
Total Sq. Ft of Construct' n: 2362 Sq. Ft. of First Floor: 1828
Cost of Construction: 100,540 Utilities: X Sewer _Septic Building Height:
OWNER/LESS :
CONTRACTOR: ,
Name DR Hort Inc
Name: Brian W. Davidson
Address:-14A Culver Dr NE
Company: DR Horton Inc
City: Pal ay State: FL
Zip Co : 32907 Fax:
Phon No. 321-733-2111
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
Phone No 321-733-2111
E- il: Melbourneoermitting(a)drhorton.com
Fi), 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 LA'
_Not Applicable
Name: AB Design Group Inc
Address: 551 S Apollo Blvd,
City: Melbourne State: FL
Zip:32901 Phone:321-237-0436
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
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 day of January 102o 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
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Produced
(Signature of Not PL11Llic,Staaaoi
(Signature ofrNotar�6��-
INAPARflIN)
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