HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLEEI^INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' o��'
Permit Number:
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Building Permit Application ®ECQt7
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PEP M? ITT I ING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial S t`" '° ` "`=" FL
Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: `T', an , . r1, L../ r•
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT, r
QZ1
Property Tax ID 4: 2326-600- 0t: Z_ p0Q_ (a
Site Plan Name:
Project Name:
Setbacks Front Back: V Right
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence <�-CLU
CONSTRUCTION INFORMATION:
Lot No.-1_
Block No.
Left Side: 1 0
L SZS u-%
Piping LAShutters Q Windows/Doors
�✓ Electric 0 plumbing i 1Sprinklers � Generator Z Roof Roof pitch
Total Sq. Ft of Construction: '[ S . Ft, of First Floor:
Cost of Construction: $ i Utilities: Sewer 0 Septic Building Height:
Gas Tank
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. 321-733-21.11.
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Applicable
—Not
Name: AB Desgn Group Inc.
MORTGAGE COMPANY: Not Applicable
Address: 1441 N. Ronald Reagan Blvd.
Name:
City: Longwood State: FLAddress:
Zip: 32750 Phone: 407.44•B078
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 or and 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 attornev befnra
commencing work or recording your Notice of
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Bravard
The forgoing instrument was acknowledged before me
this 9_ day of December 20 17 by
�1AAa- Le,
(Name of person acknowledging)
Zota�.a
(Signature Public- State of Florida)
Personally Known a OR Produced Identification
Type of identification Produced
Commission No.
°taQ• °ny� Flotary Public Stata of
? R Sandra Leone
Revised 07/15/2014 �'°°i Expires cencizozo
Si nature of ontract�o,/Ucense Holder s
STATE OF FLORIDA
COUNTY OF or--,
The forgoing instrument was acknowledged before me
this 26 day of December 20 17 by
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known i�!'Z-- OR Produced Identification
Type of identification Produced
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REVIEWS FRONT I ZONING SUPERVISOR PLANS
IATF COUNTER I REVIEW REVIEW REVIEW
INITIALS
No.
• T 7 _e1el{Y
=o,N`T 4ail?v°taryPublic Slate of
Sandra Leone
. P. : oa My Commission GG o
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW