HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ,� �� Permit Number: (=;I,1O
RECEIVED
MAY 2 71171
Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
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: 9600 Potomac DR
Property Tax ID #: 2327-502-0129-000-1 Lot No.
Site Plan Name: Creekside Plat#4 Block No. 121
#1 Project Name:
I DETAILED DESCRIPTION OF WORK: I
of a new single-family residence
# of Bedrooms: 3 # 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
Total Sq. Ft of Construction: 2238 Sq. Ft. of First Floor: 1672
Cost of Construction: $ 91,960 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: Melboumegermittinc0drhorton.com
Phone No 321-733-2111
E-Mail Melboumepermitting@drhorton.com
Fill in fee simple Title Holder on next page ( if different
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.
SUPPLEMENTALCON STR1)CTIONiLIEN LAW 11
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: LJd
Zip: Phone:
ORIVIATIO,N - -� t
.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 you Home Owners Association and review your deed for any -restrictions which may. apply.
In consideration of the granting oflthis 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.
I
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, sighs, screen rooms and accessory.uses to another non-residential use
i
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 15 day of APRIL 107{jy this 15 day of AI=RIC . 2021 by
Brian W. Davidson Brian W. Davidson
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pu
Commission N
REVIEWS
DINAPARRIND
MYCOMJ§9M#GG935M3
EXPIRE : February 27, 2024.
)Rded ihN Nitaiv P,hrn i
FRONT ZONING
COUNTER REVIEW
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
�_ i
(Signature of Notary Publi
DINAPAANRRINo
Commission No. " MFXPj= NGG935U3
o , ` ary 27, 2024
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SUPERVISOR
I RELANS VIEW'
VEGETATION S REVIEW I MANGROVE
COMPLETED