HomeMy WebLinkAboutBuilding Permit Applicationi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 171Q . • q3
RE ED
z
Buildingfermit Application
Planning and Development Services DEC 0 4 20V
Building and Code Regulation Division
23W VirgintoAvenue, Fort Pierce FL 34982 pEXSMl `TING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentiaft-jE" County, FL
PERMIT APPLICATION FOR: Building
PROPO2�SED IMPROVEMENT LOCATION:
Addresss,,p" JAodswalk DR W1 �� 1 Woo
oo $ V'( L Ik Dr-
^(�u
i/ L�
Legal Description: CREEKSIDE PLAT NO.1 (PB 55-12) LOT74OR 3921-2362)
Property Tax ID #:. 2326-6004M' 16(
Site Plan Name: CREEKSIDE
Project Name:
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side:
Left Side:
Construction for new Single Family Residence i. ena) VR-7a 1�
R E 2,5 bt
:ONSTRUCTION INFORMATION:
Lot No._ j=f
Block No.
-- - Im NCI nn& — UMAX an apply:
1 HVAC Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
Electric 0 Plumbing ❑✓ Sprinklers Generator 21 Roof Roof pitch
Total Sq. Ft of Construction: c;). S . Ft. of First Floor: `Ib`r
Cost of Construction: $ I-ia ,�.?� Utilities:C Sewer OSeptic Building Height: 12-
Name D.R. Horton
Address: 1430 Culver Drive NE
City: Palm Bay State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733.2111
E-Mail: Melboumepermiding@DRHorton.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Brian W. Davidson
Company: D.R. Horton
Address: 1430 Culver Drive NE
City: Palm Bay State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: Melboumeperrnitdng@DRHarton.com
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
,;I— . .
, Not Applicable
Name: AS Design Group Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: I-OnMad State: FL
Zip: 32750 Phone: 4o7.4"o7a
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address. -
City:
Zip: Phone:
_Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name;
Address:
City:
Zip: Phone:
PRMATION "`
MORTGAGE COMPANY:
I certify that no work or Installation has commenced prior to the issuance of a permit.
w 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attornev before
commencing work or recording your Notice of Co
Signature of Owner Lessee/Contractor as Agent for owner
STATE OF FLORIDA
COUNTY OF ereverd
The forgoing instrument was acknowledged before me
this so day of November 20 17 by
(Name of person acknowledging)
I
(Signature o Mary Public- State of Florida
V\ )
Personally Known OR Produced identification
Type of Identification Produced
Commission No.
oav °LSG
? —Notary Public State of
ti� , Sandra Leone
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER I REVIEW
INITIALS
Expires 08110/2020
Si nature of Ontrac�torlUcen�seHoldi`r S
STATE OF FLORIDA
COUNTY OF a.am
The forgoing instrument was acknowledged before me
this 30 �day
of November 20 17 by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known lz�-/-- OR Produced Identification
Type of Identification Produced
K A -.,.s -
SUPERVISOR I PLANS
REVIEW REVIEW
TTTTti
N0, ov tal)Notary Public State of
Sandra Leone
Aa My Commission GG 0
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW