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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � n�
Date: Permit Number:Jla qY
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Building Permit Application MAR 3 0: 2017
Planning and Development Services
Building and Code Regulation Division v,E i;111 i"(Mr G
2300 Virginia Avenue,Fort Pierce FL34982 St. Lucie County, FL
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Building
PROPOSED.IMPROVEMENTLOCATION:
Address: IBS-z\ CU-�da -V-6,(
Legal Description:
Property Tax ID#: eL'-53L\p " (eC " C09)F)-- CbQo- ny Lot No.?iJ
Site Plan Name: ('�jPQ � 9._ Block No.
Project Name• 2. ✓
Setbacks Front c Back:y,A:6-7 Right Side: I5'°I�' Left Side:_
DETAILEDDESCRIPTION.OF WORK:' , r
Construction for new Single Family Residence C.0-6- �-
lc,\ , 2. ?--x 7— Garv�
CONSTRUCTION INFORMATION:
Aciditional work to 5
MasTank
orme un er t is permit-c ec a app y:
RIHVAC ❑Gas Piping _Shutters a Windows/Doors
Z✓ Electric 0 Plumbing Z Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction:,0r-N�"_ . . V sc2Ft of First Floor:Cost of Construction:$ 200,000 Utilitie Sewer Eleptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name D.R.Horton Name: Brian W.Davidson
Address:1430 Culver Drive NE Company: D.R.Horton
City: Palm Bay State:FL Address: 1430 Culver Drive NE
Zip Code: 32907 Fax:321-733-7092 City: Palm Bay State:FL
Phone No.321-733-2111 Zip Code: 32907 Fax: 321-733-7092
E-Mail:Melbournepermitting@DRHorton.com Phone No. 321-733-2111
Fill in fee simple Title Holder on next page(if different E-Mail: Melboumepermitting@DRHorton.com
from the Owner listed above) State or County License: CRC1327068
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL:CONSTRUCTION t0'LAW_INFORMATI:ONs
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: AB Design Group Inc. Name:
Address:1441 N.Ronald Reagan Blvd. Address:
City: l.ongw-d State: FL City: State:
Zip: 32750 Phone: 407-44-e078 Zip: Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City City
Zip: Phone: Zip: Phone:
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 twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencen work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Critractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF B,o-,d COUNTY OF B a d
The forgoing instrurrWrit was acknowledged before me The forgoing instr Tent was acknowledged before me
this�day of 20 aby this day of 20 LJ_by
(Name o �*r�u Notary b tare of Florida (Name of person acknowl i
Sandra Leone ;°�nr►uqG� Notary Public State of Florida
My Commission GG 020251
'E o? Expires oe/10/2020Jr Sandra Leone
mv Commission GG 020251
(Signatu - ate of lorida) (Signature o o ^ ubli€x a
Personally Known _OR Produced Identification Personally Known _OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS