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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number: Q • E-
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: JOIJ� W C SL,-O"a'
Legal Description:
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DEC 2017
Commercial Residentts� I 11 1 INQ
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PropertyTax ID #: 2326-600- C>o2, �Ul3
Site Plan Name: Creekside Lot No._Iq
Block No.
Project Name.-
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Setbacks front Right Sfde: Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence ,
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CONSTRUCTION INFORMATION:
rwar to La�ome under
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HVAC Gas Tank Li
Electric Plumbing U
Total Sq. Ft of Construction:
Cost of Construction: $
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Gas Piping _ Shutters a Windows/Doors
5prinoers Generator Z Roof Roof pitch
5 Ft. of First Floor:1,(92
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
City: Palm Bay State: FL
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: Melboumepermitting@DRHarton.com
State or County License: CRC1327068
or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: ABDesignGmupinc.
MORTGAGE COMPANY: Not Applicable
Address: 1441 N. Ranald Reagan Blvd.
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Name:
City: Longwood State:
Zip: 32750 Phone: 407.44-aura
Address:
City: State:
Zip: __ Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable
Name: �'
BONDING COMPANY;
Address:
_ Not Applicable
Name:
City:
Address:
Zlp: _-_.__ 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 OIINNER: 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 att
commencing work or recording your Notice of Corporney 6Pfnro
Signature of�OwerlL�esseelContractras Agent for Owner
STATE OF FLORIDA
COUNTY OF Brand
` �er 20 17 by
The forgoing instrument as acknowledged before me
this 14 day of Decem
, i Le -
(Name of person acknowledging)
(Signature o otary�pyublic- State of Florida)
Personally Known V\ OR Produced Identification
Type of Identification Produced
Commission No.t},t4,+iP
�No-" °4y---Notary Public State of
? �r : Sandra Leone
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
INITIALS
Expires 0811012020
m=mArr�r
Si nature of ontractor/License Holder s
STATE OF FLORIDA
COUNTY OF a,avno
The forgoing instrument was acknowledged before me
this 14 day of December �0 1 by
\1 - I-eOR-le-
(Name of person acknowledging )
(Signature of Not, Publtc- State of Florida )
Personally Known �— OR Produced Identification
Type of identification Produced
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SUPERVISOR I PLANS
REVIEW] REVIEW
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No. pljvotary Public Slate of
Y Sandra Leone
oQ My Commission GG 0',
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW