HomeMy WebLinkAboutBUILDING PERMIT APPLICATION65
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:\.;R, l ka�(3 r.
Permit Number:l
Building Permit ApplicatitonDEC 2011
Planning and Development Services
Building and Code Regulation Division BMe °
2300 Virginia Avenue, Fort Pierce FL 34982
° ° ........
' ` °' ° " .°°°°°
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X ,
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:_ /
Address:_
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT
Property Tax ID##: 2326-600- QbI—]
Site Plan Name:
Project Name:
Setbacks Front • Back: Right Slde: �efte: ,
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence $2198 `-aj
CONSTRUCTION INFORMATION:
1 HVAC 1:1 Gas Tank
0 Electric 0 Plumbing
E-Mail: Melboumepermitting@DRHorton.com
Fill in fee simple Title Holder on next page ( If diffe
from the Owner listed above)
Lot No.A2 _
Block No.
Piping UShutters Qwindows/Doors
nklers 11 Generator �✓ Roof Roof pitch
Total Sq. Ft of Construction: _ �s� S . Ft. of First Floor: _ I
Cost of Construction: ;,
r Utilities: RJ Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name D.R. Horton Name: Brian W. Davidson
Address:1430 Culver Drive NE Company: D.R. Horton
City: Palm Bay State: FL Address: 1430 Culver Drive NE
Zip Code: 329y 07 Fax: 321-733-7092 City: Palm Bay
321-733-2111 State: FL
Phone No. Zip Code: ae-W, Fax: 321-733-7092
Phone No. 321-733-2111
rent 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 �CONST�RUCTI�ONLIEN LAW INFORMATION:
°`^s C'tiumscett: — Not Applicable
Name: ns Design croup Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood
Zip:32750 State:
Phone• 407h1-6078
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip' Phone:
MORTGAGE COMPANY: N
Name: ot Applicable
Address:
City: State
ZIP: — Phone:
BONDING COMPANY: _Not
Name: Applicable
Address:
City:
Zip: Phone:
certify that n�o( work or installation has commenced prior to the issuance of a permit.
St.
is in conTlict with any applicablelHothat
e Owners Associationtrules,authorize
bylaws or and permit
ovenants that mayf estrict 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 CommPnr•p,,, nr f
Signature�&OwneLlLessee/Contactr Aent OIr wn
STATE OF FLORIDA
COUNTY OF sre,ard
The forgoing instrument was acknowledged before me
this _6 day of December 20 17 by
Lew
(Name of person acknowledging)
I --
(Signature o otary�P(ublic- State of Florida )
Personally Known 0\ OR Produced Identification
Type of Identification Produced .
Commission No.
u- a„9( --Notary Public State or
? �,} Sandra Leone
Revised 07/15/2014 ° o, ,d' Expires 08/icr2o2o
. A---------
REVIEWS FRONT I ZONING
I COUNTER REVIEW
INITIALS
Si nature �ofota
STATE OF FLORIDA
COUNTY OF amvoro
The forgoing instrument was acknowledged before me
this 26 `day
of December 20 17 by
(Name 'ofn acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known �111/— OR Produced Identification
Type of Identification Produced
No. osar �aI}votary Public State 'or;d
? Q Sardra Leone
?. = o M7 Commission GG 02 t
SUPERVISOR I PLANS I VEGETATION SEA TURTLE I MANGROVE
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