HomeMy WebLinkAboutBuilding permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
TIFL.1401
W�14&�
Y
I' 'D A"
� 4 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SFR
PROPOSED IMPROVEMENT LOCATION:
Address: 9416 Potomac Dr
Residential X
Property Tax ID #: 2327-502-0122-000=2 Lot No. 114
Site Plan Name: _Creekside Plat #4 Block No.
Project Name:
''DETAILED DESCRIPTION OF WORK:
Construction of a new single family residence
# of Bedrooms: 5 # of Bathrooms: 3 # of Garages: 2 Garage Swing: Right
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit — check all that apply:
X Mechanical Gas Tank Gas Piping Shutters X Windows/Doors _ Pond
X Electric X Plumbing Sprinklers Generator X Roof Pitch
Total Sq. Ft of Construction: 3233 Sq. Ft. of First Floor: 2605
Cost of Construction: $ 177,815 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
Address:1430 Culver Dr NE
City: _Palm Bay State: _FL
City: _Palm Bay State: FL
Zip Code: _32907 Fax:
Phone No._321-733-2111
Zip Code: 32907 Fax:
E-Mail: Melbourneaermittin4CaDDRHorton.com
Phone No 321-733-2111
Fill in fee simple Title Holder on next page ( if different
E-Mail Melbourneoermitting(cDDRHorton.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.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorneybefore commencingwork or recordingour Notice of Commencement.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name: AB Design Group Inc. /Michael Anderson
Not Applicable
MORTGAGE COMPANY:
Name:
x Not Applicable
Address: z�saHwvA,A�soi
City: Indian Harbor Beach
Zip: 32937 Phone 321-237-0436
State; FL
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 4 day of March , 2021 by
this 4 day of March , 2021 by
Brian W Davidson
Brian W Davidson
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public-
.�;,;;•,, DINAPARRINO
�• � �� COMMISSION 9 GG 935641
(Signature Of Notary Public- .....
"�"""' DINgPgRRINO
MY COMMISSION
� /�
MY
r,�, g�3
Commission No. �pIRES:Febtuary27,2024
Commission No. o;:g?P`. �IRES:February27,2o2A
�. o:;,`'•.BandtdThn+NcUNPLUIGUnderxdtars
••'r °.••'•
BondedThni I'I0!!!y Publtc Undenrritars
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
-
RECEIVED
DATE
D