HomeMy WebLinkAboutBuilding Permit Application `alp; "'ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:"1 sk 11 Permit Number:-�1d1
e
RECE1l'rD JUL 03 2017
j Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,For;Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
i
,f PERMIT APPLICATION FOR: Building
:PROPdkD'IMPROVEMENT LOCATION:
Address: 3116 Yellowstone CIR -(- l Crec e7 15 L, 3 4t
Legal Description:
� Property Tax ID#: - 2326-600-0118-000-9 Lot No. 113
Site Plan Name: Block No.
Project Name: CO20A
Setbacks Front Back: Right.Side: Q tJ-Left Side: 1 �t
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence )�--Lo,(b_
I nn O- p
CONSTRUCTION.INFORMATION:
Additional work to rtormed under is pennst-c ecic all apply:
10HVAC Gas Tank ❑Gas Piping _In Shutters Windows/Doors
ZElectric Plumbing 7 Sprinklers El Generator _Roof Roof pitch
Total Sq.Ft of Construction: oZRR,_,3 S .Ft.of First Floor:
Cost of Construction:$ ,4bb jam— Utilities:ZSewer 0 Septic Building Height:
OWNE
...R/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:Melboumepermitting@DRHorton.com Phone No. 321-733-2111
Fill in fee simple Title Holder on next page(if different E-Mail: Melboumepermitting@DRHarton.com
from the Owner listed above) State or County License: CRC1327668
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
Ll�
RECEIV'`:D 1U) 03 "b"'
SUPPLEMENTAL t6NSTRUCTION LIEN LAW INFORMATION:
i DESIGNS ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: AB Design Group Inc. Name:
Address:1441 N.Ronald Reagan Blvd. Address:
City: Langwood State: FL City: State:
Zip: 32756 Phone: 4o744-ewa Zip: Phone:
FEE SIMPLE TITLE HOLDER: V 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.
i 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
commencing work or recordiniz vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ere w COUNTY OF a—
The fofgping instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of June 20 17 by this 27 day of_ June 2017 by
a LPG \Y12,,41w
�I (Name of person acknowledging) (Name of person acknowledging)
(Signature o otaryP(ublic-State of Florida) (Signature of Notary Public-State"of Florida
y )
Personally Known V� OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ea r�,�m sion No. F54
al ota Public State of F Ida
�,av Pu otary Public Slate of F! rto`d ry
Sandra Leone Sandra Leone
_d 251 oa My Commission GG 0 1
�'socno`F Expires()all012020 oc�
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