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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 �� Produced (Signature of Not PL11Llic,Staaaoi (Signature ofrNotar�6��- INAPARflIN) MY GOMMI )INA PARKIN)Commission'. Commission NMY COMMISSIONk FF p�7E FabruaaryB No buy Public Undemnten oFabruary 2 .Bondediru Thm Notary Public Undemiders onded REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED