HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 11 '' II
Date: Permit Number: o� \o` — i 1�V, 1
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: 3321 Trinity Cir
Property Tax ID M 2327-502-0084-000-3 Lot No. 76
Site Plan Name: Creekside Plat#4 Block No.
#1 Project Name:
DETAILED DESCRIPTION OF WORK:
Construction of a new single-family residence
#of Bedrooms: 4 '#of Bathrooms: 2 #of Garages: 1
Garage Swing: L
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
X Mechanical —IGas Tank _Gas Piping _Shutters X Windows/Doors
X Electric X P I lumbing _Sprinklers _Generator X Roof Pitch
Total Sq. Ft of Construction: 2442 Sq. Ft. of First Floor: 1916
Cost of Construction:$ 105,308 Utilities: 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
Zip Code: 32907 Fax: City: Palm Bay State:FL
Phone No._321-733-2111 Zip Code: 32907 Fax:
E-Mail: Melbournei)ermitting(cDdrhorton.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.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: AB Design Group Inc Name:
Address: 551 S Apollo Blvd, Address:
City: Melbourne State: FL City: State:
Zip: 32901 Phone: 321-237-0436 Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Da Address:
City: 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
"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
WITHYOURLENDEROIRANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMEN'TC�ONSULT
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 5 day of APRIL 2021 by this-•5—day of APRIL ,2021 by
Brian W. Davidson Brian W.Davidson
Name of person making statement. Name of person making statement.
Personally Known OR ProducedIdentification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced / Produced
_ti__---___O____________
(Signature of Notary Pu (Signature of Notary Publi
jr;t'••'••�q;•. DINAPARRINO ;•'?. •k�;.: DINAPARRINO
Commission No. tiIYCOMAJ%9J#GG93�43 Commission No. _ `'= MY CO p�aGG935643
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED