HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO, BE ACCEPTED
Date: j Permit Number:
E
Planning and Development Services Building Permit Application OCT' 3 2017
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 LOCATIC
Address: 3100 Yellowstone CIR ,r�
Legal Description:
Property Tax ID #:.2326-600-0114-000-1
Site Plan Name:
PERMITTING
St. Lucie County, FL
Commercial Residential X
Project Name: Creekside
Setbacks Front aJ,0�0 Back: _ . 61 b Right Side: . l I Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence ARDEN 1969 4EDB /C/ R
2'(Z.
CONSTRUCTION INFORMATION:
n
Lot No. 109
Block No.
—1-1 unnPrI1nu—uneCKan apply:
Z✓ HVAC Gas Tank ❑Gas Piping _ Shutters L 1 Windows/Doors
Z✓ Electric Plumbing Sprinklers Generator ' i Roof Roof pitch
Total Sq. Ft of Construction: _ Zso
S Ft. of First Floor: ��
Cost of Construction: $ �-i a .el�3p , `� Utilitles:'2Sewer 0Septic Building Height:
OWNERAESSEE: I !'r%Rvrn A
Name D.R. Harlon
Address:1430 Culver Drive NE
City: Palm Bay State: FL
Zip Code: 32907 Fax: 421-733-7092
Phone No. 321-733-2111
E-Mail: Melboumepermitting@DRHorton.com
FIII 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: Melboumepermitting@DRHorton.com
State or County License: CRC1327068
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
NLAW IN
Name: ABDesign Gmup Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State: FL
Zip: 3275. Phone: 407-44-607a
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address.
City:
Zip: Phone:
)KMATION:
MORTGAGE COMPANY:
Name:
Address:
_ Not Applicable
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 Count yy makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conFlict with any applicable Home Owners Association rules, bylaws or ancovenantsthat may restrict or prohibit such
structure. Please consult w th your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, 1 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 befnri-
commencing work or recording our Notice
Signature of Owner Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFwevom
The forgoing Instrument was acknowledged before me
this 25 day of October�_% 20 L7 by
Adila- LQw
(Name of person acknowledging)
(Signature o otaryyPublic- State of Florida )
Personally Known V\ OR Produced Identification
Type of Identification Produced
Commission No. _
o•0r 00 -Notary Public State of
? L , Sandra Leone
11oF Fe Expires 08/10/2020
Revised 07/15/2014 - . _ - a � - . -
Si nature of�ontractOrAjcen�.seHolde�r��S
STATE OF FLORIDA
COUNTY OFe- ,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 1;�/-- OR Produced Identification
Type of Identification Produced
REVIEWS I FRONT I ZON�IENWGS
ERVISOR PLANS
COUNTER REVEVIEW 1 REVIEW
ATF
INITIALS
No. II a�-rr"ry
o�►* aIioteryPuTbllc State of
? d Sandra Leone
�_�• o� My Commission GG 0
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW