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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ICJ
• n 1011 RECEIVED
Building Permit Application MAR-26,2021
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL34982 St. Lucie County
Phone:(772)462-1553 Fax:(772)4624578 Commercial Residential x
PERMIT TYPE: SFR
PROPOSED IMPROVEMENT LOCATION:
Address: 3419 Trinity Cir
Property Tax ID #. 2327-502-0094-000-6 Lot No. 86
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: 2442
Cost of Construction: $105,308
_Sprinklers _Generator X Roof
Sq. Ft. of First Floor: 1916
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: Melboumeoermitting(cDdrhorton.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: LJCICity:
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.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 Ipools, 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 beforeme
this 5 day of APRIL 021 by this-•5—day of LP L , 2021 ey
Brian W. Davidson Brian W. Davidson
Name of person making statement. Name of person making statement.
Personally Known V OR Produced Identification Personally Known V OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Pu (Signature of.Notary Publi
,r�q''''•`tF;, DINAPARRINO ,e?'�"ky%. DINAPARRINO
;:c . iUY COM # GG 935643 ;.f MY CO 0 GG 935643
Commission No. �N Commission No.
D(PI . Fe6ruary27, 202d �;.a:.�o�?:' �I ary 27, 2024
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