HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: AC./a•Opal
RECENED
Building Permit Application FEB 0 a 1010
Permitting Department
St. Lucie County
PERMITTYPE: SFR
PROPOSED(IMPROVEMENT LOCATION--,'.
Address: 3214 Trinity Cir
Commercial Residential x
Property Tax ID #: TB£}* Lot No. 56
Site Plan Name: Creekside Plat #4 Block No.
#1 Project Name:
DETAILED DESCRIPTION OF WORK:
Construction of a new single-family residence
# of Bedrooms:9&M_: # of Bathros;g2 # of Gara
Garage Swing:-SfRXs T
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 Constructio 4- 2 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
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: Melbourneoermittina(adrhorton.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: _Not Applicable
Name: AB Design Group Inc
MORTGAGE COMPANY: X Not Applicable
Name:
Address: 551 S Apollo Blvd,
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
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
POSTED ONIMPROVEMENTS
TTHE JOB SITETBEFORE THE FIRSINSPECTION. IIFOYOU INTEND TO OBTAINS FINANCING RECORDED AND
WITH YOU RLENDER ORANATTORNEYBEFORE RECORDING YOU RNOTICE OFCOMMENCEMffNT."
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 JanuaW 202o 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 __Y/_ OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Producedd
Produced
v
(Signature of
(Signature of Notary Public- State of Florida
D:NAPMRINO
Commission N
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.+_ MY COMMISSION �(�F sl�y�00n
Commission N
• - Fabrua 1020
Banded Thru Notary Puhlic Undemmterc'•=
n ••. DINA PARRINO
MY COM NA PA
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RES: February 27, 20
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