HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED -FOR APPLICATION TO BE ACCEPTED
Date:' �� ��-` Permit Number: I04- N 1
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Building :Permit AppliciaFion APR '3 0 2021
Planning and Development Services
Building and Code Regulation Division Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE: SFR
PRO PO SEDu.IMPROVEMENTLOCATION: ,'
Address: 3453 Trinity Cir
Property Tax ID #- 2327-502-0010-000-4
Lot No. 2
Site Plan.Name: Creekside Plat#4
Block No.
91 Project Name:
DETAILED DESCRIPTIONIOF WORK:°r
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 . _Gas Tank _Gas
Piping _Shutters
X Windows/Doors
X .Electric X Plumbing
_Sprinklers _Generator X
Roof Pitch
Total Sq. Ft of Construction: 2362
jSq. Ft. of First Floor: 1828
Cost of Construction: $1 � (30t E5g.
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 Cod e::.32907. Fax:
City: Palm Bay. State: FL
Phone-No._321-733-2111
Zip Code: 32907 Fax:
E-Mail: Melboumeoermittina(cDdrhorton.com
Phone No 321-733-2111
p.
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
it value of construction is $zwo 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: Ag 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: FX Not Applicable
Name:
Name: .
Address:
Address:
City: Da
City:
Zip: Phone:
Zip: Phone:
OWNER/.CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit.to do the work and installation as indicated. .
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
whi
ch 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
D
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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—clay of. APR!L: , 2021 by
Brian W. Davidson Brian W. Davidson
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
.1-0
(Signature of Notary Pu '
DINAPARRINO
Commission No. ,9. MYcoM I�rygrrg3
EXPIRE • Febivary27, 2024
•:yA, y per.
60adedThNNouay.P�bteu .:
Produced.
(Signature of Notary Publi
M" DINAEap,
Mo
Commission No. ,n�35s4z
'• EW 27,9 2024
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REVIEWS -FRONT ZONING SUPERVISOR PLANS I VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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DATE
COMPLETED