HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10-1-20 Permit Number:
K�- �-T.�-Ti�r-� -it Uto
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: SFR
PROPOSED IMPROVEMENT LOCATION:
Address: 3411 Trinity Cir
Property Tax ID #: 2327-502-0092-000-2
Site Plan Name: Creekside Plat#4 /
#1 project Name:
DETAILED DESCRiP.TION OF WORK:
Construction of a new single-family residence
/2S� � f
# of Bedrooms:LL4 # of Bathrooms: (" # of Garages: 1
Lot No. 84
Block No.
Garage Swing: Left
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 Pitch;;;,>`>A<,
Total Sq. Ft of Construction: 2442 Sq. Ft. of First Floor: 1916
105 380
Cost of Construction: $ 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 `'
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
City: Palm Bay ^��''�`'State: FL
J
Phone No._321-733-2111
Zip Code: 32907 s,'' Fax;tir l 4 fir'{
E-Mail: Melbournepermitting(a)_drhorton.com
Phone No 321-733=2111 ' '" J, E°' .-i7 ."
Fill in fee simple Title Holder on next page ( if different
E-Mail Melbourriepermittirig@dr.horton:com
from the Owner listed above)
State or.Co;unty'License CRC132ZU68 f t
If value of construction is $2500 or. more, a RECORDED Notice of CommenceTeht is required. ,a>"
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencements required. ,' s
Y
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: AB Design Group Inc / Michael Anderson
Address: 2194 Hwy A1A # 301
City: Indian Harbor Beach State: FL
Zip: 32937 Phone: 321-237-0436
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City: Da
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
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 holderto 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
10,
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF BREVARD
The forgoing instrument was acknowledged before me
this 1 day of October _2020by
Brian W. Davidson
Name of person making statement.
Personally Known OR Produced Identification
Type of Identificatioh
Produced -
STATE OF FLORIDA
COUNTY OF BREVARD
The forgoing instrument. Was acknowledged before me
this_ —day of October 2020by
Brian W. Davidson
Name.of person makin-g/statement.
Personally Known OR'Produced Identification
Type of Identification
Producedt
e , yr,
(Signature,of Notary Pu (Signature of'Notary Publl' 1.
IINAPARRINO DINAPWRRINO
MY GOM GG 935643 : « . ,; MY CO p GG 935643
Commission Noh Commission Nq
EXPIRE FeDruary21,2024 r
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REVIEWS FRONT ZONING- -SUPERVISOR _PLANS VEGETATION,,' f SEA"TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW 'REVIEW
DATE
RECEIVED
DATE
COMPLETED
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