HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED rUR APPLICATION TO BE ACCEPTED Date: Permit Number: Ir
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Building Permit Application
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Planning and Development Services
Building and Code Regulation Division a3A13:)ad
2300 Virginia Avenue, Fort Pierce FL34982
Phone: (772) 4624553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: S.FR
PROPOSED 9MPROVEMENT LOCATION:
Address: 3440 Trinity Cir
Property Tax ID M 2327-502-0032-000-4 Lot_ No. 24
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 _Sprinklers _Generator - X Roof Pitch
Total Sq. Ft of Construction: 2362 Sq. Ft. of First Floor: 1828
Cost of Construction: $ 100,540 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: Melboumeaermittina(.d-)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.
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DESIGNER/ENGINEER: Not Applicable ..MORTGAGE
COMPANY:
X Not Applicable
Name: AB Design Group Inc
Name:
Address: 551 S Agollo.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:
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
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 5 day of APRIL .2021 by
this-•5—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
DINAPARRINO
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AIY COM n p GG 935643
Commission No. .. ���
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Commission No. � IXPIary27,202a
a o?•.•• : Fehruary 27, 2024.
Baiidcd iluu Notary PtbCc Undanniter�
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