HomeMy WebLinkAboutBuilding Permit Application01-*
21- .1
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: %- H ^ 2 027
Permit Number: Obit;'
Building Permit Application 1"5'
Planning and Development Services n-0
Building and Code Regulation Division 6'r, % ?:
2300 Virginia Avenue, Fort Pierce FL 34982 as
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x %e
PERMITTYPE: SFR
PROPOSED IMPROVEMENT LOCATION:. -
Address: 3210 Trinity Cir
PropertyTax ID #: TBD O 0(Q-s—OnlA Lot No. 5 7
Site Plan Name: Creekside Plat #4 Block No.
#1 Project Name:
DETAILED,DESCRIPTION OF WORK:
Construction of a new single-family residence
# of Bedrooms: 0' # of Bathrooms:,., # of Garagesz,.:X2
Garage Swing: LEfFT=z�,
CONSTRUCTION 'IN FORMATION:
Additional work to be performed under this permit — check all that apply:
X Mechanical _Gas Tank
X Electric X Plumbing
Total Sq. Ft of Construction�228� 7
Cost of Construction: $ 96,580
_Gas Piping
Sprinklers
_Shutters X Windows/Doors
Generator X Roof Pitch
Sq. Ft. of First Floor: 1756
Utilities: X Sewer _ Septic Building Height:
a
OWNER/LESSEE:
CONTRACTOR:
Name DR Horton Inc
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
Phone No. 321-733-2111
E-Mail: Melbournepermitting(cDdrhorton.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Brian W. Davidson
Company: DR Horton Inc
Address: 1430 Culver Dr NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
Phone No 321-733-2111
E-Mail Melbournepermitting@drhorton.com
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.
f
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: — —
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 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
(RESULT IN YOUR PAYING
MUST BE RECORDED AND
AOMMENCEME'N CONSULT
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 _6 day of January _202o by
this 6 day of January 2020by
Brian W. Davidson
Brian W. Davidson
Name of person making statement.
Name of person making statement.
V
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced—
.
(Signatu ary Publia)l�$P��a)
(Signature of Notar Public- State o I
t COMMISSION
`R `= EXPIRES February''L7,2020Y;P�
•DINAPARRINO
CommissiN- ublicUnder����l
Commission No.==4'°': MISSIONS(Seg6po
:;< EXPIRES: February 27, 2020
40` Bonded Thru Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
MANGROVE
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED