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HomeMy WebLinkAboutBuilding Permit Applicationti All APPLICABLE INFO MUST.BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ' a`Q 1 Permit Number: Dos-c lqq qua w� oa a0 , • Building Permit Application ,9g .Ud Planning and Development Services v Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL-34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial -Residential X PERMIT TYPE: SFR PROPOSED IMPROVEMENT LQCATION: Address: 9400 Potomac DIR Property Tax ID #: 2327-502-0020-000-7 Lot No. 12 Site Plan Name: Creekside Plat#4 Block No. #1 Project Name: FDETAILE"-D DESCRIPTION OF -WORK:' Construction of a new single-family residence # of Bedrooms: 3 . # 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:. M8 Sq. Ft. of First Floor: 1672 Cost of Construction: $ 91,960 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 Fax: E-Mail: Melboumei)ermitting(&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: 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. 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 Associationandreview 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 7 day of APRIL �(�ay this_ —day of APRIL 2021 by 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 DINAP ARRIND ,'�?'S�'44ti:. DINAPARRIND Commission No. ., :: AIYCOMA�I§� HGG935rA3 ;.: MY CO �Nq�,r,935643 Commission No. ''((�� �I yy`` EXPIRE ,Fehruary21,2024. ro���,P?' ary27,2024 BMW ThmNotvyPubCcUMenvilleia BondedlhruNotaryMikUnderwtlam REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED