HomeMy WebLinkAboutBuilding Permit Application7.
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
COUM_rY
F L O R 1 D A
( Permit Number: � - 0 Dos
C M
Planning and Development Services
Building and Code Regulation Division
2300 VlrginlaAvenue, Fart Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578.
DEC 04 2017
PEnsvll i'i ING
St. Lucie County, FL
Commercial Residential X
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PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:'.
CL3 b 6 ()(_ r � �. 1
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12)� '.OR 3921-2362) J IV
1M1� 1
Property Tax ID
Site Plan Name: CREEKSIDE
Project Name:
Setbacks Front_a_Zg� Back:
DETAILED DESCRIPTION OF WORK:
Right Side: " Left Side:
Construction for new Single Family Residence LukC.c
CONSTRUCTION INFORMATION:
L=IHVAC I:.. -(Gas Tank UGas P
ZElectric ta Plumbing
I, ZSprinl
Total Sq. Ft of Construction: � `f`C,?
Cost of Construction: $ O
y
Lot No.,, /a'J
Block No. um
— cnecK all apply:
ping _Shutters Q Windows/Doors
ers � Generator � Roof � Roof pitch
5 . Ft. of First Floor:
Utilities:Sewer Septic Building Height:
UWNER/LESSEE:
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: Melboumepermltting@DRHorton.com
Fill in fee simple Title Holder on next page (ff different
from the Owner listed above)
CUN_ TRACTOR.:
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-Mai{: Melboumepermitting@DRHorton.com
State or County License: CRC1327068
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
K
Name: AS Design Group Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood
32750 State: FL
Zip: Phone: 407a4-6078
FEE SIMPLE TITLE HOLDER: Name: Not Applicable
Address:
City:
Zip: — Phone:
Jt(11/lAI,I,ON..
MORTGAGE COMPANY: — Not Applicabie
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name;
Address:
City:
ZIP: Phone:
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. concu rren cy 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 yo.ur 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 attorney before
commencing work or recordingyour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner 5
Si nature of ontractor/License Holder
STATE OF FLORIDA
COUNTY OF erevard
The forgoing instrument was acknowledged before me
this 30 day of November 20 17 by
(Name of person acknowledging)
(SignaturZootLryp—�,u,1b,1rjc_
/�(State of Florida )
V \
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. '� _'-t''�•'1
o0r °Ls� Notary Public State of
? IG : Sandra Leone
Revised 07/15/2014 y °F Fro" Expires 0e110/2020
STATE OF FLORIDA
COUNTY OF e.va,d
The forgoing instrument was acknowledged before me
this 30 day of
o_f November 20 17 by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known �— OR Produced Identification
Type of identification Produced
REVIEWS I FRONT I ZONING I SUPERVISOR I PLANS
COUNTER REVIEW REVIEW REVIEW
eTr
INITIALS
No. ov laljlotaryPublic State of
Sandra Leone
e4 o My Commission GG 0.
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW