HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
;COu
tVTy
113
Permit Number: (oL-
Building Permit Application
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: 5 Woodswalk Dr
Legal Description:
Property Tax ID #: 44-2A —
Site Plan Name:.
Commercial Residential X
e_
Project Name: S�
Setbacks Front Ba Right Side:1 %a Left Side: --
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence /C &i1 OX06 .
CONSTRUCTION INFORMATION:
- -- -- -- ......�� �n�� �JC�IIIH—GIItlGK all apply: -
1 HVAC Gas Tank ❑Gas Piping Shutters ✓� W; d
Lot No. -
Block No.
in ows/Doors
�✓ Electric 0 Plumbing �✓ Sprinklers � Generator �✓ Roof � Roof pitch
Total Sq. Ft of Construction:_ - 33' S . Ft. of First Floor:
Cost of Construction: $ ���. �� Utilities:�Sewer Septic 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.com
Fill in fee simple Title Holder on next page I If different
from the Owner listed above)
If value of construction is
CONTRACTOR:
Name: Brian W. Davidson
Company: D.R. Horton
Address: 1430 Culver Drive NE
l
City: Pam Bay
y State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: Melboumepermitting@DRHodon.com
State or County License: CRC1327068
00 or more, a RECORDED Notice of Commencement Is required.
V
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
c1a%711tl CCK: -_ Not Applicable —
Name: AS Design Group Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State:
Zip: 32750 Phone: 407-44soya
FEE SIMPLE TITLE HOLDER: No
Name: t Applicable
Address:
City:
ZIP: _. Phone:
MORTGAGE COMPANY: _Not
Name: Applicable
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. is In Count any applicable Home Owners Association rules bylaws or anScovet I that maytl estrict o�rproh,b,t 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
Commencing work or recording your Notice of Corr---,----,.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF &amd
The forgoing instrument was acknowledged before me
this 14 day of December 20 17 by
�_% A661A_ Le" —
(Name of person acknowledging)
Zoota(SignaturrV Publia c- Stte of Florida )
Personally Known A OR Produced Identification
Type of Identification Produced
Commission No.
tpur 9„.g Rctary Public State of
A1# Sandra Leone
Revised 07/15/2014
REVIEWS FRONT I ZONING
COUNTER REVIEW
INITIALS
Expires Ge/10/2020
Si nature of ontractor/license Holder S
STATE OF FLORIDA
COUNTY OF a—nd
The forgoing instrument was acknowledged before me
this 14 day of December 20 17 by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known i�!'Z—' OR Produced Identification
Type of identification Produced
SUPERVISOR I PLANS
REVIEW REVIEW
rti Yl'Y1f�d,
No. =a�naT lal;atary Public Slate of
Sandra Leone
a My Commission GG 0'.
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW I REVIEW