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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (�
Date: 10-1-20 Permit Number: l 0 I "l
(0 La Ito
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: 3235 Trinity Cir
Property Tax ID #. 2327-502-00810.00- j-, _ Lot No. 73
Site Plan Name: Creekside Plat 66 Block No.
#1 Project Name:
DETAILED DESCRIPTION OF WORK:
Construction of a new single-family residence
# of Bedrooms: 5 # of Bathrooms: 4 # of Garages: 1
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
Total Sq. Ft of Construction: 3i3
Cost of Construction: $ 143,055 Utiliti
_Generator X Roof Pitch
Sq. Ft. of First Floor.: 1,100/ 2nd FL 1501=Total livino 2601
s: 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
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
Phone No._321-733-2111
Zip Code: 32907 Fax:
E-Mail: Melbournepermitting(adrhorton.com
Phone No 321-733-2111
Fill in fee simple Title Holder on next page ( if different
E-Mail Melbournepermitting@drhorton.com
State or County License CRC1327068
from the Owner listed above)
IT value oT construction is �ZWU 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
MORTGAGE COMPANY: X Not Applicable
Name: AB Design Group Inc / Michael Anderson
Name:
Address: 2194 Hwy A1A # 301
Address:
City: Indian Harbor Beach State: FL
City: State:
Zip:32937 Phone:321-237-0436
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
BONDING COMPANY: X Not Applicable
Name:
Name:
Address:
Address:
City: Lia
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
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 1 day of October _2020by
this_ —day of October 2020by
Brian W. Davidson
Brian W. Davidson
Name of person making statement.
Name of person making statement.
V
Personally Knowny OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Publi
(Signature of Notary Pu
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Commission No. :_ ��N .
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Commission No.
WIC. February 2
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