HomeMy WebLinkAboutBUILDING PERMIT APPLICATION;
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application DEC (� �
Planning and Development Services 02017
Building and Code Regulation Division Ptaivil-f
2300 Virginia Avenue, Fort Pierce FL 34981 St. L-Uc �C'
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential cRu� FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: Woodswalk Dr
Legal Description:
Property Tax ID
Site Plan Name:
Project Name:
Setbacks Fron
W
Lot No.JCA _
Block No.
Back: `j �i l Right Side:
I DETAILED DESCRIPTION OF WORK:
Left Side:
Construction for new Single Family Residence �� c;l�-7 �
&J S h
CONSTRUCTION INFORMATION:
Addi iona wor to a orme un er t is perms
�✓ HVAC MGas Tank ❑Gas Pi
Electric Plumbing FV(]Sprinl
Total Sq. Ft of Construction: �o S-L
Cost of Construction:
—cnecKail appry
ing LJShutters zWindows/Doors
ers 11 Generator Z Roof Roof pitch
S Ft. of First Floor: 1330
Utilities:,2Sewer 0 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, 321-733-21 11
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: Melboumepermittng@DRHarton.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:
---"""•� """"«R; —Not Applicable —
Name: Ae Design Gmup Ino.
Address: 1441 N. Ronald Reagan 131vd.
City: Longwasd State: FL
32750 Phone: 40794607g
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
ZIP: ___ Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not
Name: Applicable
Address:
City:
ZIP: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
which Is to con" icttawith any applicablelHorne Owners Association rules, bylaws or and covenant that may restrict or prohibit suc
structure. Please consult with your Home Owners Association and review your deed for an 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 h
Y
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
commencine work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA
COUNTY OF eiemd
The forgoing instrument was acknowledged before me
this 14 day of December 2017 by
(Name of person acknowledging)
1
(Signature o Wary
yPublic- State of Florida )
Personally Known t/\ OR Produced Identification
Type of Identification Produced
Commission No. �
=4^ea otary Public State of FI
Sandra Leone
" r•
Revised 07/15/2014 Expires Ger;O/2020- y
REVIEWS FRONT ZONING
COUNTER I REVIEW
INITIALS
STATE OF FLORIDA
COUNTY OF amvard
The forgoing instrument was acknowledged before me
this 14 ^dayy� of December �0 17 by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known �— OR Produced Identification
Type of Identification Produced
0a--%^ft
No. T
°SRT ,�palr otary Public State of
Sandra Leone
bty Commission GG 0
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