HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: 1z • 0qS 5
of 0
541v� R CEk`VED
Building Permit Application plc 1
Planning and Development Services 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 LOCATION:
Address: -_11 Woodswalk Dr
Legal Description:
PEP -Miff (ING
Commercial Residentiaft.kucie County, FL
Property Tax ID #:.
Site Plan Name: Lot No.
Block No.
Project Name: l
Setbacks Fron 'e�o Back. Right Side/� Left Side:
DETAILED DESCRI TION OF WORK:
Construction for new Single Family Resi ce
CONSTRUCTION INFORMATION:
" I OD lIcl 11111, — Ul
R HVAC Gas Tank aGas Piping
l Electric 0 Plumbing 23Sprinkl s
Total Sq. Ft of Construction: `�
Cost of Construction: $i, �(O� l 0 Util
OWNER/LESSEE:
Name D.R. Horton
Address: 1430 Culv�DriveNE
City: Palm Bay FL
State:
Zip Code: 32907 Fax: 321-733-7092
Phone No. 321-733-2111
E-Mail: Melboumepermitting@ORHorton.com
Fill In fee simple Title Holder on next page I If different
from the Owner listed above)
UShutters
i
Q
Windows/Doors
Generator
Roof Roof pitch
SO.
Ft. of First Floor:
ties:
0Sewer Septic
Building
Height:
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: Melboumepermitdng@DRHorton.com
State or County License: CRC1327068
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
a
0
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
. •rr....a..��
Name: As oe'ign croup Ina.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State: FL
Zip: 32750 Phone: 407-046078
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
ZIP: ___ Phone:
MORTGAGE 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 recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
signature of Contractor/License Holder s
STATE OF FLORIDA
COUNTY OF Bre.ard
The forgoing instrument was acknowledged before me
this 14_ day of December 20 17 by
-
(Name of person acknowledging )
{Signature Ot Notary
Public- State of Florida )
Personally Known V (\ OR Produced Identification
Type of ldentificatian Produced
Commission No.
STATE OF FLORIDA
COUNTY OF ennnd
The forgoing Instrument was acknowledged before me
this 14 day of December 2017 by
Aa. dI, 4e o P-."—
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known �-- OR Produced Identification
Type of Identification Produced
ulpar,0" "k1olary Public State of FI ,Wm Sion No.
_ ^ Sandra Leone
•9ja'o
!�T -, rr rYYlfy
o�airto!ary Public Slate of
Sandra
51
Leone
Revised 07/15/2014
:�o�
Expires 08/1C/2020
. z oa 61y Commission GG 0
0:
f�
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR PLANS VEGETATION
REVIEW
SEA TURTLE MANGROVE
DATE
COMPLETE
III
REVIEW REVIEW
REVIEW REVIEW
INITIALS
/_l