HomeMy WebLinkAboutBuilding Permit Applicationr
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —IPermit Number: _ 1 -
_ RECEIVED
Building Permit ion Applicat'
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description: CREEKSIDE PLAT NO 1 (PB 55-126ve>
I
Property Tax ID #:. 2326-600•b
Site Plan Name: CREEKSIDE
Project Name: r
Setbacks Front �)
®EC 0 ' 2017
( 'y::�✓1!'r''rING
Commercial Residential L#Cie County, FL
3921-2362)
Back: QJ✓_ Right Side: I LI-51 LeftSide:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence-V1
ON INFORMATION:
1 HVAC 11 Gas Tank Gas P
I'Electric 0 Plumbing �✓ Sprinl
Total Sq. Ft of Construction:
Cost of Construction: $ 17171
3
0— ` y c-
lL qy
Lot No.
Block No.
— cnecK an apply:
ling _ Shutters Q Windows/Doors
ers t—...I Generator Roof Roof pitch
S . Ft. of First Floor: t W
Utilities:✓ Sewer USeptic Building Height:
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: Melboumepermitting@DRHorton.com
Fill in fee simple Title Holder on next page ( If different
from thelOwner listed above)
wNIKt 1.UK:
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: Melboumepennitting@DRHorton.com
State or County License: CRC1327068
If value of' construction is $2soo or more, a RECORDED Notice of Commencement Is required.
"•«R; Not Applicable
Name: nB Oesign Group Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State: F�
Zip: 32750 Phone: 407.44-so78
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip Phone
)RMATION
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
TIn accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
he 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 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 attornev before
t?ommencin work . recordin our Notice of Comm����� -_
SignatukfOwLerjLess�eelContr�actor as 'Agent Owner
STATE OF FLORIDA
COUNTY OF Brevard
The forgoing instrument was acknowledged before me
this 30 day of November 20 17 by
(Name of person acknowledging)
I
I
(Signature o otaryvP(ublic- State of Florida )
Personally Known V \ OR Produced Identification
Type of Identification Produced
Commission No.
opar °Ls� --Rotary Public State of
? tj : Sandra Leone
711
p�'o, f Expires 08/10 2'0
Revised 07/15/2014 _ �. s-
Si nature �of <on�tractorlU�censeHolder s
STATE OF FLORIDA
COUNTY OF e--,d
The forgoing instrument was acknowledged before me
this 30 �dayy of November 20 17 by
(Name of person acknowledging)
(Signature of Notary Public- State of`Florida }
Personally Known Z�/— OR Produced identification
Type of Identification Produced
EWS FRONT ZONING SUPERVISOR PLANS
COUNTER REVIEW REVIEW REVIEW
z r v v
N0. csaYal?JotarY Public State of
r d Sandra Leone
c oa MY Commission GG 0
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW