HomeMy WebLinkAboutBuilding Permit Application:
ALL APPLICABLE INFO MUST" BE COMPLETE[ FOR APPLICATION TO BE ACCEPTED
:.
Dater
., . ; .. .. .. Permit Nu
017
..00ding Permit A lic JUN 16 ..
Planning and Deve/oprrrentservlces ' pp
sullding and Code Regulation_ ivision
2300 Virginia Avenue, Fort Pierce FL 34982.. ` _ BY:
Phone: (772) 4624553 Fax:"(772) 4024!578 Commercial
Residential X
PERMIT APPLICATION FOR:
Building:.:.
PROPOSED IMPROVEMENT:LOCATION: .
/.
Address: '3.112Yellowstone.ClR f '..
Legal Description: ' Creekside Plat .No.1 Ent 112 /
Property Tax ID i# 2326-600-0117-000-2
Slte Plan Name: Lot No. 112
Project Name:.:: Jr.�Q B
�� lock No'.
Setbacks. Front
Back: Right Side: Left Side.
DETAILED.DESCRIPTION OF';WORK
Construction for new Single Family Re idence 4��.Q�, (�
G .. i
CONSTRUCTION INFOR_IVIATION:.
war to .
_orme un
i Iona er is: permit — c ee a /
Ipp Y:
IHVAC /
Gas Tank: QGas Pip in ;0 J
P !; _Shutters: �✓ Windows/Doors
Electric,. �'Plumtiin
R . ..Spri kle�s Generator ✓n/Roo
:Total S ' S. Ft of Construction: �/ "� f . Roof pitch
q S ; FL -of First Floor:
Cost -of Construction: $ - /% �- r
lltllitles: USevdr Useptic /Building:Heighrt:
-OWNER/LESSEE
CONTRACTOR:
Name D R• Horton
. ..
n
Address1430 Culver Drive NE. Name: Brian W.Davidso
City: Palm Bay Company: D.R: Horton
FL
Zip Code; 3290T 321-733-7092 tote: Address: 1430 Culver Drive NE.
Fax:- City: Palm Bay
Phone No: 321-733-2111 .:
Zip Code: 32907 St • F
ate. L
E-Mail: Meiboumepermltting@DRHoiton.corri
3 ax' 321-733-7092
F
Phone No. 21-733 21`11 . , : ,
Fill.in.fee simple Title Bolder on next page ( If different � Melboume em ittirig@DRHiirton:co
E-Mail: p
from theOwner listed above)
State or County License- CRC1327068 .... m
If value of construction >s $2500 or more; a RECORDED Notice of Commeniement is required..
SUPPLEMENTAL CONSTRUGIION:.
r
EIV LqW
DESIGNER ENGINEER:
INFORMATION:
Names:AaDesign c�upInc. Not Applicable
•.-•
MORTGAGE COMPANY:
Address:1441 K. Ron- dinName:
-- Not Applicable
City: Longwood
-Zi 327s0 State: FL
.
p' —� Phone: 407.4"a7g '.::
Address:
.City: .
FEE SIMPLE TITLE.HOLDERa
S to te:�
Ztp: _ Phone:
_Not Applicable Name:
BONDING COMPANY;
Address:
Name:...:.. Not Applicable
City:
Zip:
Address:
�= Phone:...
City:
...
zip:` Phone
certify that no work
:.
or installation has -commenced prior to the issuance of a e
St. Lucie County makes no representation that"wners Ass a permit will authorize the itermit holder
which is in con flict with any applicable Home Owners Association rules, bylaws
structure. Please consult with your Home Owners Assoclatlon and review your'_or a scov y restrictions which ma a I .
or arifor an re is that may estrict o� p structureih
In consideration of the granting of this retauested permit, I do'hereby agree that I will, in all res ects
In accordance wlth.the approved plans, the:'Florida Building Codes and.st. Lucie County.Amendment, y work
V
The following building permit a lications are exempt from undergoing a full concurrenc review: p Perform the work
accessory structures, swimmin Pp
g pools, fences, walls, signs; screen rooms and accessory uses topother non'rtes dential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in our a
improvements to .your property.
before the first inspection.. If you intend to obtain financing, consult with lender y paying twice for
A.iVotice of Commencement must. be recorded and posted on the Jobs' for
commencin work or recordin our Notice of Commencement.. .It
or an attorney before'
Signature of owner/Lessee/Contractor as Age
nt for Owner Si nature.of. ontractor/License Holder
... ;.
STATE OF FLORIDA s
COUNTY OFero.wd STATE OF FLORIDA
COUNTY OF s� a,ti
The fooing instrument:was acknowledged before:me The forgoing:instrument was acknotvled
this: day of June--.-.20 17 by
this . 7 y ged. before me
day of June 20 17 by
(Name of person acknowledginGtdl�- /-�t.i;
g) eO
(Name of person acknowledging )
(Signature o otary public- State of Florida )
�y (Signature of Notary Public- State of Florida )
Personally Known a OR Produced Identification Type of Identification Produced Persona0y Known
OR Produced Identification
Type of identification Produced_
Commission No - - -
otary Public State of
Sandra Leone
Revised 0718h014
?v
Expires 08!10/2020
REVIEWS FRONT
COUNTER
ZONING
SUPERVISOR
DATE
REVIEW
R IEW
COMPLETE .
INITIALS
,r62m T
Sion: No:
ow¢al)votery Public Stete of
? b Sandra Leone
ca My Commission GG o:
PLANS
REVIEW
VEGETATION.
REVIEW
SEA TURTLE.
MANGROVE
REVIEW _
REVIEW