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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: `'off % )7 Permit Number. 0 Building Permit Application MR E CE IfE® Planning and Development services a��y Building and Code Regulation Division DEC 2 7 2017 2300 Virginia Avenue, Fart Pierce FL 3498Z Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial' Residential X PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: �J�O� �©OO��� Q C) Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT Property Tax ID #: 2326-600- oc � — p�� Site Plan Name: Project Name: Setbacks Fron Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Cbnstruction for new Single Family Residence A 6 /_ t(qa- L .3 CONSTRUCTION INFORMATION: 2-1J-)-.k 2. Ll Lot No, Co Block No. ��Nc.un,—cnecKan apply: ✓ HVAC Gas Tank ❑Gas Piping _ Shutters � Windows/Doors I✓ Electric 2 Plumbing �: Sprinklers Generator �✓ Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: f !�� r�- Cost of Construction: $ _ , �' l�. Utilities:12Sewer USeptic Building Height: --- E: Name D.R. Horton Address:1430 Culver Drive NE City: Palm Bay State: FL Zip Code: 32907 Fax: 321-733-7092 Phone No. 321-733-2111 E-Mail: Melboumepermitting@DRHorton.com Fill In fee simple Title Holder an next page I If different from the Owner listed above) If value of construction is 5q 13 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: Melboumeperm ing@DRHorton.com State or County License: CRC1327068 or more, a RECORDED Notice of Commencement Is required. 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 Zip: 32750 State: FL Phone: 40744$g7a Address: City - Zi 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 conflim ct with any applicable hoe Owners Association rules, bylaws or anti 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 CommencemPnr Signature of Owner/Lessee/Contractor as Agent for owner STATE OF FLORIDA COUNTY OFBre,ard The forgoing instrument was acknowledged before me this 9A dayof December 20 L7 by 9�� (Name of peng ) I (Signature o V \ otary Public- State of Florida J Personally Known OR Produced Identification Type of Identification Produced Commission No.�y =o4A ^ea otary Public State of FI d Sandra Leone r Revised 07/15/2014.Expires cer`orzoxo. 1 REVIEWS FRONT ZONING I COUNTER REVIEW INITIALS Si nature -40ntra_ct0r/_Ucese Holder s STATE OF FLORIDA COUNTY OF ar.-,s The forgoing instrument was acknowledged before me this 26 day of December �0 17 by (7 (Name of person acknowledging ) (Signature of Notary Public -State of -Florida) Personally Known �— OR Produced identification Type of identification Produced a°YalJVat-ary Public State of Sandra Leone % _oa MY Commission GG 0 SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE REVIEW REVIEW REVIEW REVIEW REVIEW