HomeMy WebLinkAboutBuilding Permit Application l
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2�-s tit Permit Number:
RECU.":0 JUL 0 3 ZD37
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginlo Avenue,Fort Pierce FL 34982
! Phone:(772)462-1553 Fax:(772)4624578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION',
Address: 3117 Yellowstone CIR '�' qq
I
Legal Description:, y i
Property Tax ID#J: . 2326-600-0121-000-3
Cot No. 11'(p_
Site Plan Name: Block No.
1
Project Name: \
Setbacks Front 25` Back: -LRight Side: Left Side:
DETAILED DESCRIPTION,OF WORK:
Construction for new Single Family, R1e_siden V�
�5 2 `
CONSTRUCTION INFORMATi.ON:.
Additional work to be nerformed—under his permit.—check, all apply.
OHVAC Gas Tank ❑Gas Piping _Shutters Windows Doors
O✓ Electric 0 Plumbing Z✓ Sprinklers 0 Generator Roof Roof pitch
Total Sq.Ft of Construction: 5 .Ft.of First Floor: 1 J
Cost of Construction:$ ' 1�°C� ; Utilities: Sewer Septic Building Height:
OWNER/LESSEE CONTRACTOR:
Name D.R..Horion 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@DRHorton.com
from the Owner listed above) State or County License: CRC1327068
I
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
RECEN`D
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNE ENGINEER: Not Applicable MORTGAGE COMPANY: ^'Not Applicable
Name: AS Design Group Inc, Name:
Address:1441 N.Ronald Reagan anrd. Address:
City: tongwaad State: FL City: State:
Zip: 32760 Phone: 40744-etne 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,1 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
commencin O work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Si nature of ontractor/License Holder
i STATE OF FLORIDA STATE OF FLORIDA
` COUNTY OF aravam COUNTY OF ed
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1 day of June 20 17 by this 27 day of June 20 17 by
d"��w
(Name of person acknowledging) (Name of person acknowledging)
(Signature o otary Public- te'of Flo ublic-State of Florida) (Signature of Notary Public-Starida)
fN
Personally Known 01\ OR Produced identification Personally Known V� OR Produced Identification
a, Type of Identification Produced Type of Identification Produced
Commission No. a rr•,,,,m sion No, o�oar &ealNotary Public State of F Ida]
aY ou ota Public State of F{ IQ
=o`" d ? Sandra Leone
Sandra Leone 251 ~~~���iil aQ My commission GG o i
"a or Nod Expires 0811012020 0i
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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