HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI ;.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1-7 Permit Number:
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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: SOS U30a1,h,4�li
Legal Description:
Property Tax ID #: _ 2326-600-
Site Plan Name: Creekside
Project Name: nn
Setbacks Front d�
DEC 18 2017
Commercial Residential X
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Right Side: / 5?2 Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence n !t
l Z b-, 2-
CONSTRUCTION INFORMATION:
14HVAC Gas Tank ❑Gas P
Electric 0 Plumbing DSprinl
Total Sq. Ft of Construction: Z.
Cost of Construction: $ 1 3� tz>
Lot No.f�_
Block No.
- cnecK an apply:
ling _ Shutters �✓ Windows/Doors
ers 1:1 Generator �✓ Roof Roof pitch
Sq. Ft. of First Floor:
Utilities:SewerEJSeptic BuildingHeight:
vvvlY[rc/LtJJtt:
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 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:
nerd-u�., ice_ •—•----
-� F-MatiYCCK: _ Not Applicable
Name: AB OasignGroup Ina.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State: FL
Zip: 32750 Phone: 40744.6079
FEE SIMPLE TITLE HOLDER: Not Applicable
Name: "—
Address:
City:
Zip: Phone:
IMORTGAGE COMPANY: _ Not Applicable
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. 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 recordin our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
Si nature of ontractor/License Holder 5
STATE OF FLORIDA
COUNTY OFere,ard
The forgoing instrument as acknowledged before me
this 14 day of DecemI Zp 17 by
�J Ad�!L Lecw
(Name of person acknowledging )
I
(Signature o otarylr )u'l ic- State of Florida )
Personally Known L OR Produced Identification
Type of Identification Produced
Commission No. 011�x%". P;�el
,, O` °�sr �fJotary Public State of
? hS r•. Sandra Leone
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
INITIALS
Expires OelIC/2020
STATE OF FLORIDA
COUNTY of a—nd
The forgoing instrument was acknowledged before me
this 14 day of December Zp 1 by
dod,/, 4eop-C
(Name of person acknowledging)
(Signature of N*tPublic-State fo Florida )
Personally Known i�'/_ OR Produced Identification
Type of Identification Produced
SUPERVISOR I PLANS
REVIEW REVIEW
No.J�-.J"-4,-aI;ctJry Public $tat e(
Sandra Leone
oa N17 Commission GG 0
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW