HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /+
Date: Permit Number:
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Building Permit Application
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Planning and Development Services aaAI3032i
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: 9617.Potomac Dr
Property Tax ID #: 2327-502-0027-000-6 Lot No.
Site Plan Name: Creekside Plat#4 Block No.
#1 Project Name:
DETAILED DESCRIPTION OF WORK:
:onstruction of a new single-family residence
# of Bedrooms: 4 # of Bathrooms: 2 # of Garages: 1
Garage Swing: R
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: 2442
Cost of Construction: $105,308
Sq. Ft. of First Floor: 1916
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: MelboumeaermittingCcb-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
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.
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:
Address:
City: uaCity:
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 anyrestrictions 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
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF BREVARD I COUNTY OF BREVARD
The forgoing instrument was acknowledged before me
this 5 day of APRIL
Brian W. Davidson -
Name of person making statement.
021 by
Personally Known V OR Produced Identification _
Type of Identification
Produced
(Signature of Notary Pu
DINAPARRINO
Commission No. i" MYCOMAj§ NGG93VA3
•,'<i�::o"; ' EXPI : FeD ry ry27, 2024
REVIEWS I 'FRONT I ZONING
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
The forgoing instrument was acknowledged before me
this-5—day of APRIL , 2021 by
Name of person making statement.
Personally Known V OR Produced Identification
Type of Identification
Produced
_____ _
'(Signature of Notary Publigr Fk
Commission No
MY co aGG935U3
EXPI ary27,2024
SUPERVISREVIEWOR RE EW I VEGETATIEV EWON I SEATURTEV EWLE M EVIEWVE