HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ` i 1 a air, q I
o'
Building Permit Applicatio
Planning and DevelopmentServices
Building and Code Regulation Division 1
2300 Virginia Avenue, Fort Pierce FL 34982nFf Z
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial f
Residential x
PERMITAPPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 51 111 k
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT
Property Tax ID #: 2326-600- ()O I OO _
Lot No.�_
Site Plan Name:
Project Name:
Block No.
Setbacks Front -Back: 4' fight Slde:� Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence ]= l ('e-. 2,00--7 Le-Q-T
CONSTRUCTION INFORMATION:
Additional wor to r,,ep� orme un er t is
r� permit — c IMA dil Mar aoo v:
IUHVAC L-1 Gas Tank LJGas Piping'
i P� g in _
Shutters 21 Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers Generator
Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor: 12�j`jl�
Cost of Construction: ; I - ___ )I Cps Utilities:,2Sewer 0Septic Building Height:
OWNER/LESSEE:
Name D.R. Horton
Address:1430 Culver Drive NE
City: Palm Bay FL
State: _
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 (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: MelboumepermitGng@DRHorton.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:
"10`a1tlCcK. Not Applicable
Name: AB Design Group Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State:
Zip: a27sD FL
Phone: 4074"078
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.
which is in conflimawith anyapplicablelHothat
e Owners Associationlrule5 bylaws othe
antl covenants that may estrlct 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
Commenci 19 work or recording your Notice of Commenc
Xianature:_& Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Bremd
The forgoing instrument was acknowledged before me
this 26 day of December Zp 17 by
A_ L"
(Name of person acknowledging)
(Signature o otaryPublic- State of Forid
la )
Personally Known OyyOR Produced Identification
Type of Identification Produced
Commission No.
ea
atary Public State of FI
? y . Sandra Leone
Revised 07/15/2014 ? - . —°, a - — -*ipires �srg0"o-0
ement.
Zoe
Si nature of ontractor/license Holder 5
STATE OF FLORIDA
COUNTY OFamn'd
The forgoing instrument was acknowledged before me
this 26 day of December 20 17 by
1441- leowe.
(Name of person acknowledging)
r'
(Signature of Notary Public- State of Florida )
Personally Known �— OR Produced Identification
Type of Identification Produced
..�
REVIEWS I FRONT I
ZONING SUPERVISOR PLANS
COUNTER VIEW REVIEW REVIEW ATC
INITIALS
ion No.
al�latary Public State of F d
Sandra Leone
M7 Commission GG 02 t
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW