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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12 • Permit Number: 0 (% —
Building Permit Applic tion FEB 4 2020
Planning and Development Services Pel"I118iLIi1C�. �aprfrllen
Building and Code Regulation Division �t. L UCIC®U C1�Ya FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentla
PERMIT TYPE: SFR
PROPOSED"IMPROVEMENT LOCAT16N• t .., t.
Address: 3221 Trinity Cir �7
Property Tax ID #: TBD / V,) l2� �(� (� •� Lot No. 71
Site Plan Name: Creekside Plat #4 Block No.
#1 Project Name:
DETAILED DESCRIPTION OF WORK
Construction of a new single-family residence
# of Bedrooms: 3 # of Bathrooms: 2 # of Garages: 2
Garage Swing: LEFT
FNSTRUCTION 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
Total Sq. Ft of Construction: 2287 Sq. Ft. of First Floor: 1756
Cost of Construction: $ 96,580 Utilities: X Sewer _ Septic Building Height:
OWNER/LESSEE `'
",CONTRACTOR::
Name DR Horton Inc
Name: Brian W. Davidson
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
Phone No._321-733-2111
E-Mail: Melbournei)ermitting(cDdrhorton.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Company: DR Horton Inc
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
Phone No 321-733-2111
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
Address: 551 S Apollo Blvd,
City: Melbourne State: FL
Zip: 32901 Phone: 321-237-0436
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City: - y
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
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
YING
AND
3ULT
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_ day of January 2020 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
(Signat,
(Signature of _P tic -State of Florida )
DINA PARRINO
;Po. ",__ MY COMMISSION # FF 957800
Commi Etin.. - 27 2020(S I)
�"
�° P°�'= DINA PARRIN•0 ((SSee —
Commission 9s.. ':^ SIOV!1FF9978001)
Bonded Thru Notary Public Underwriters
%'••—.• °; EXPIRES: February N 27, 2020
Bonded Thrn
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