HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��''QQ``�,������±±�� +-�
Date: 2-2-22 RECEiVE� Permit Number:611) i —0 / W
I
FS 12 2022
Q o m , peafr»i ng
IrMAIing Perm itApplication
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SFR
PROPOSED IMPROVEMENT LOCATION:
X
Address: 9225 Potomac Dr
Property Tax ID #: 2327-502-0067-000-8 Lot No. 59
Site Plan Name:_Creekside Plat#4 Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Construction of a new single family residence
# of Bedrooms: 4 # of Bathrooms: 2 # of Garages: 1 Garage Swing: Right
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
X Mechanical Gas Tank Gas Piping Shutters X Windows/Doors Pond
X Electric X Plumbing Sprinklers Generator X Roof Pitch
Total Sq. Ft of Construction: 2442 1 Sq. Ft. of First Floor: 1'916
Cost of Construction: $ 105,540 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
City: _Palm Bay State: FL
Zip Code: _32907 Fax:
Phone No._321-733-2111
Address: 1430 Culver Dr NE
City: _Palm Bay State: FL
Zip Code: 32907 Fax:
Phone No 321-733-2111
E-Mail:_ MelbournepermittinqCaD-DRHorton.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Melbournepermittin4(cDDRHorton.com
State or County License CRC1327068
11 VOIYC ul a.unxl uVuun IJ 4auu ur mure, a KtLUKutu Notice oT commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPP EMENTAL CONSTRUCTION LIEN LAW INFORMAT ON:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: AB Design Group Inc. /Michael Anderson
Name:
Address: 2194 HWYAIA#301
Address:
City: Indian Harbor Beach State: FL
City: State:
Zip: 32937 P h o n e 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
Please
structure. 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or recording our Notice of Commencement.
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
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this 2 day of February 2022 by
this 2 day of February 2022 by
Brian W Davidson
Brian W Davidson
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public-
rt ;� DINAPARRINO
(Signature of Notary Public- ,kiQaiFlori a DINAp ARRINO
hI 0 1SS10N 9 GG 93%43
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Commission No. S:Febmary27.2024
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�; ;. MY COMMISSION 9 GG 93SW
Commission No. ''F••.�o? ���bruary27,2024
IFOi I ;?`•'• fioaded mN Nolary Public Undermilars
bonded Thru Note ry Public Underwr{tars
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20