HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ��' ��I Ll `P
Permit Number:
E tl C•� v`a� Lr� ti v Ia:,
Building Permit Application DEC ����
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 P[=l;� F II'TI ivlG
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial St, Lucie County, FLResidential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: C 1. LJ it
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT 1
PropertyTax ID #: 2326-600-coll
Site Plan Name:
Project Name:
Setbacks front ' 1.Back: Right Side: �LeftSide:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence � �" k v) Zbo ( U.P-(
Lot No._
Block No.
VLs
2 %
CONSTRUCTION INFORMATION:Kff/
i Iona wor to be rforme un er t is permit a
PP Y�
R HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Z Roof Roof pitch
Total Sq. Ft of Construction: �� S . Ft. of First Floor: �2,
Cost of construction: $ �� Utilities:RJ 5ewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name D.R. Horton Name:Davidson
Brian W, Davidso
Address:1430 Culver Drive NE D.R. Horton Company:
City: Palm Bay State: FL Address: 1430 Culver Drive NE
Zip Code: 32907 Fax: 321-733-7092 City: Paim Bay FL
Phone No. 321-733-2111 State:_
Zip Code: 32907 Fax: 321-733-7092
E-Mail: Melboumepermitting@DRHorton.com Phone No. 321-733-2111
Fill in fee simple Title Holder on next page ( If different ' E-Mail: Melboumepermitting@DRHorton.com
from the Owner listed above) State or County License: CRC1327068
If value of construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
_ A,
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
_
Name: AB Design Group Inc.
MORTGAGE COMPANY: Not Applicable
Address: 1441 N. Ronald Reagan Blvd.
Name:
City: Longwood State: FL
Zip: 32750 Phone 4o�4asna
Address:
City State:
Zip: _ ._ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY;
Address:
____Not Applicable
Name:
City:
Address:
Zip: 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 oran 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 oofbtain financing, consult with lender or an attornev hpfnrp
commencing work or recording Your Notice Co
SignatukfOwn�erlLesse�elConta`ctorasgent for Owner
STATE OF FLORIDA
COUNTY OF Bra•ard
The forgoing instrument was acknowledged before me
this 96 day of December 20 17 by
Lew
(Name of person acknowledging)
I
(Signature OT Notary Public- State of Florida )
Personally Known 0( OR Produced Identification
Type of Identification Produced
Commission No.
ea�
otary Public Slate of FI
Sandra Leone
Revised07/15/2014 5 �`°-- - .Ex`ire= cenor2o2o
alanature of [-ontraL+®,/License Holder S
STATE OF FLORIDA
COUNTY OF a-,-d
The forgoing instrument was acknowledged before me
this 26 day of December
zo 17 by
\1t 4d" /.100-2
(Name of person acknowledging)
(Signature of Notary public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
REVIEWS FRONT ZONING I SUPERVISOR I PLANS
COUNTER REVIEW REVIEW REVIEW
ATF
INITIALS
rr
!on NO.
°�•sv aI otary Public Sate of F d
? Sandra Leone
oQ MY Commission GG o2 1
VEGETATION 15EATURTLE JIMANGROVE
REVIEW REVIEW REVIEW