HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONFill in fee simple Title Holder on next page ( If differs
from the Owner listed above)
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I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
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Permit Number: p�, • C��o��
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Building Permit Application
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue, Fort Piece F134982
Phone: (772) 462-1553 Fax: (772) 462-1578
DEC' i 20f7
PERMITTING
St. Lucie County, FL
Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: R4 04 nk,W, n LV-r & 0 1n I �'� _ _ r`,
Legal Description: CREEKSIDE PLAT NO. 1 (PE 55-12) LOT ,J VV, ''a`Y
Property Tax ID 4: 2326-600-
Site Plan Name:
Project Name: 11 Setbacks Fron " Back: %�,Wi�ghtSlde. 1 Left Side: 1
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence CtA.L 1 c3Zg
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CONSTRUCTION INFORMATION:
n ,,,.......—cnecxau apply
O✓ HVAC Ed Gas Tank ❑Gas Piping _ Shutters ® Windows/Doors
ZElectric Plumbing -Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 5 . Ft. of First Floor:
Cost of Construction: $ _ If/ `(D,_ Utilities: ✓ Sewer Septic Building Height: ry
i;��S �L lr
Lot No. lye_
Block No.
OWNER/LESSEE: CONTRACTOR:
Name D.R. Horton Name: Brian W. Davidson
Address:1430 Culver Drive NE Com an D.R. Horton
Palm Bay Company:
city: y State: Address: 1430 Culver Drive NE
Zip Code: 32907 Fax: 321-733-7092 City: Palm Bay
321-733-2111 y State: FL
Phone No. Zip Code: 32907 Fax: 321-733-7092
E-Mail: Melboumepermitting@DRHorton.com _ Phone No. 321-733-2111
nt 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:
DESIGNER/ENGINEER: Not Applicable
_
Name: AB oeaign Gaup Inc.
MORTGAGE COMPANY: Not Applicable
Address: ,aa, N. aenelQ Reagan aiva.
Name:
City: Longwood State:
Zip: 32750 phone: ao7�a507a
Address:
city- State:
ZIP:
ZIP: __-_�_ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Address:
Name: _ _Not Applicable
City:
Address:
Zip Phone:
City: I
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. con currency 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
commencine work or recording % ou Notice of
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFewm,d
The forgoing instrument was acknowledged before me
this 9_ day of December 20 17 by
(Name of person acknowledging )
I
(Signature o otary��Pyyublic- State of Florida )
Personally Known 0( OR Produced Identification
Type of Identification Produced
Commission No.
p4PA' ea
otary Public State of FI
? O.sp : Sandra Leone
Revised 07/15/2014
REVIEWS FRONT ZONING
_- COUNTER REVIEW
INITIALS
Expires Ge/,0/2020
Si nature of ontractor/License Holder S
STATE OF FLORIDA
COUNTY OFa--d
The forgoing instrument was acknowledged before me
this 26 day of December �0 17_ by
le o Pt-p—
(Name of persori acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known I�-/OR Produced Identification
Type of Identification Produced
^n ,"
SUPERVISOR I PLANS
REVIEW I REVIEW
T vYYYYlfY'
No. �__ act• Ceal�latery Public State of
Sandra Leone
eQ M7 Commission GG 0
VEGETATION I SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW