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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` Q Date: Permit Number: J'O 1 1 RECENED • MAR 2 6 2n2� Building Permit Application pern�itrin Planning and Development Services St,t,ng p?part'meflt Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL34982 Phone: (772) 462-1553 Fax: (772) 4624578 Commercial Residential x PERMIT TYPE: SFR PROPOSED IMPROVEMENT LOCATION: - Address: 9608 Potomac Dr Property Tax ID #: 2327-502-0131-000-8 Lot No. 123 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: L 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. .. Address: 1430 Culver Dr NE City:.Palm Bay State: FL Zip Code: 32907 Fax: City: Palm Bay State: FL .Phone No._321-733-2111 Zip Code: 3.2907 . . . Fax: E-Mail: Melboumeoermitting(cbdrhorton.com Phone No 821-733-2111 Fill in fee simple Title Holder on next page ( if different E-Mail Melboumepermitting@drhorton;com from the Owneraisted 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. ud 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 "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND WITHYOURLENDEROIRANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMEN'TC�ONSULT SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION: DESIGNER/ENGINEER: _Not Applicable . :MORTGAGE COMPANY: X Not Applicable Name: AB Design Group Inc Name: .Address: 5515Apollo•Blvd, Address: City: Melbourne State: FL City: Stater 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 Persona lly,Known OR Produced Identification Type of Identification Type of Identification Produced Produced- � (Signature of Notary Publi ' (Signature of Notary Pu �,�t•"�'r•�ky DINAPARRINO :'i9N'•r`�f+. DINAPARRINO • Commission No. E_'• MY caMAll��rya�9358a3 17(PIRE Commission No. '_=. P ��I,� ry���d� February27,p024 . . •' 60ndedfinuNotaryPabCc2Meiwilt1rs i.fo:I1.OP: '.•.•. ,• 6ondeCThtuNotaryP�6lkUndmwrltars. REVIEWS FRONT ZONING SUPERVISOR .PLANS VEGETATION SEA TURTLE .MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW, REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED: