HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED F(.R APPLICATION TO BEACCEPTED
Date: 2-2-22 I Permit Numbe"Q'�o'.mga
ST. LuCIE
CO(.INT�Y
L O R 1 D'A
FES
,i Application
Planning and Development Services.
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
PERMIT APPLICATION FOR: SFR
PROPOSED IMPROVEMENT LOCATION:
Address: 9209 Potomac Dr
Property Tax ID #: 2327-502-0071-000-9
Site Plan Name: Creekside Plat#4
Project Name:
DETAILED DESCRIPTION OF WORK: "L4
Construction of a new single family residence
# of Bedrooms: 3 # of Bathrooms: 2 # of Garages:
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Garage Swing:
x
Lot No. 63
Block No.
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
Total Sq. Ft of Construction: 2238 Sq. Ft. of First Floor: 1672
91 960
Cost of Construction: $ 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
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 Melbournepermittingt-DRHorton.com
State or County License CRC1327068
E-Mail:—Melbournepermittinq(a)DRHorton.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
it value or construction is isuu or more, a KECOKDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: AB Design Group Inc. /Michael Anderson
Name:
Address: 2194 HWrA1A#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
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 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 your Notice of Commencement.
1110/
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF B--rd
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-
. . � OINAPARRINO
(Signature of Notary Public- E.�i4Florl a
JO.' )INAPgF�INO
;•: M� CO ISSION if GG 935643
Commission No. '• e.c.miary27.20324
MY COMMISSION # GG 9356gg
Commission No. 'r� • • e =' BED �bNary27,2024
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Bonded ru Np,.yp 611. Underwdtars
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 5/6/20