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AIL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 4a Juno
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Building Permit Application 41�04��
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: 3444 Trinity Cir
Property Tax ID #. 2327-502-0031-000-7 Lot No. 23
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: 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
Total Sq. Ft of Construction: 2362
Cost of Construction: $100,540.
_Sprinklers _Generator X Roof
Sq. Ft. of First Floor: 1828
Utilities: X Sewer —Septic Building Height:
Pitch
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: MelboumepermittinoCcbdrhorton.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
Name: AB Design Group Inc
Address: 551 S Apollo Blvd,
City: Melbourne State: FL
Zip: 32901 Phone: 321-237-0436
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
Address:
City: Da
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: X Not Applicable
Name:
Address:
City:
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
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 6 day ofAPRIL 2021by
this-•5—day of APRIL ,2021by
Brian W. Davidson
Brian W. Davidson
Name of person making statement.
Name of person making statement.
V
V
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Publi
(Signature of Notary Pu
^Mr'•••' DINAP
'�•"•:!6'• DINA PARRINO
MYCOMS
No. F6
�NOG935643Commission
Commission No.
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Bonded Thm Notary p�pfc Undnxnllers
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Bonded TIw Notary PtEIk Undennl ars
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