HomeMy WebLinkAboutBuilding Permit Applicationrr so
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l Permit Number: ]� 01
RECEIVE®
Building Permit Applica ion
Planning and Development Services NOV 0 6 2017
Building and Code Regulation Division
2300Virginia Avenue. Fort Pierce FL34982 Permitting Department
Phone: (772) 462-1553 Fax: (772) 462-15713 Commercial Rf?-1 t&Mt-XL,-FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 3108 Yellowstone CIR � Pi t
Legal Description: Creekside
Property Tax ID ##:.2326-600-0116-000-5
Lot No' 111
Site Plan Name:
Creekside Block No.
Project Name:
Fn
Back: li�lNight Side: _ Left Side: 1`
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence GALEN 2432 EXPRESS 40'
`A'b,,Qk ,3
CONSTRUCTION INFORMATION:
�•••+�•..uNcinua—UleCKall apply:
ZHVAC Gas Tank as Piping _ Shutters
Q Windows/Doors
10Electric 0Plumbing Sprinklers 11Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 . Ft. of First Floor: to 1
l
Cost of Construction: $ k (,p 1i0S. Utilities:2✓ Sewer USeptic Building Height:
OWNER/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: Melboumepermitting@DRHorton.wm
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
CONTRACTOR:
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: Melboumepermitting@DRHorton.com
State or County License: CRC1327068
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER: _ Not Applicable
Name: AS oealgn Group inc. MORTGAGE COMPANY: _ Not Applicable
Address: m4i N. Ronald Reagan e,,d_ Name:
City: Longwood Address.
State: FL Zip:32750 Phone:4o7-as-so7s City: State:
ZIP: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY;
Name: Not Applicable
Address: Name:
City: Address:
Zip: Phone: 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 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 attorney before
commencin work or recording our Notice of Com^ .—_—
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFBro ord
The forgoing instrument was acknowledged before me
this 25 day of October 20 17 by
C-% do, Law
(Name of person acknowledging)
(Signature o otary�Pyublic- State of Florida )
Personally Known V\ OR Produced Identification
Type of Identification Produced
Commission No.
oiPAY 0&� -Notary Public State of
? R,? . Sandra Leone
Revised 07/15/2014 ,�°�:° —Expires 08/10/2020
—
Signature of _o, t, a u,/y�ense Holder S
STATE OF FLORIDA
COUNTY OF 8--,d
The forgoing Instrume t was acknowledged before me
this 25 day of Octo�er 17
20 _ by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida) _
Personally Known (�'/_ OR Produced Identification
Type of Identification Produced
n<,k-.A
REVIEWS FRONT ZONING SUPERVISOR PLANS
_ COUNTER REVIEW REVIEW 1 REVIEW
ATC
INITIALS
N0. _ osgYtalpoteryPubllc State of
? 1S Sandra Leone
My Commission GG 0
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW