HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date:
Permit Number:
0 AN
Building•Permit Application
Planning and Development Services DEC 2 7 2017
Building 'and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PeERM11TING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial I. �ucie COWIty, FL
Residential
PERMIT APPLICATION FOR: Building
PROPOSED. IMPROVEMENT LOCATION:
Address: 3l30—T.0.2w0-ke,- Ci
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT
Property Tax ID #: 2326-600- 00 t3 — Oc» —3
Site Plan Name:
Project Name:
Setbacks Front2 �° Back: J
R`ight Slde:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence
�c LILT
CONSTRUCTION INFORMATION:
Additional war to a orme un t
Side:
�AaA_( &C', 2 (o I W i-
Lot No._
Block No,
er ispermrt—c ec an [n
apply:
0✓ HVAC Gas Tank ❑Gas Piping_ Shutters
a Windows/Doors
Electric Plumbing I1✓ Sprinklers- Generator
. � � Roof � Roof pitch
Total Sq. Ft of Construction_: 5 . Ft. of First Floor: _�I .
Cost of Construction: $ � ' S Utilities: g g
t t "Z-- Sewer Septic Building Height: c
OWNER/LESSEE: CONTRACTOR:
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 on next page ( If different
from the Owner (listed above)
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. 321-733-211f
E-Mail: Melboumepermitting@DRHorton.com
State or County License: CRC1327068
If value of construction Is 121110 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
cnulltlCCK: _ Not Applicable
Name: AB Design Group Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State. FL
Zip: 32750 Phone: 40744-6o7a
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip' Phone:
MORTGAGE COMPANY: , Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Name: _Not Applicable
Address:
City -
Zip: . Phone:
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 wi applicable Home Owners Association rules, bylaws or antl 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 Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner at�na[ure or rn„► ,K o�i�,, 5
- lcense Hnlrfor
STATE OF FLORIDA
COUNTY OF Blalwd
The forgoing instrument was acknowledged before me
this 9_ day of December 10 17 by
Lew
(Name of person acknowledging )
I
(Signature Ot NotaryPublic- State of Florida
y()
Personally Known V \ OR Produced Identification
Type of Identification Produced
Commission No.9.'e�P-nl�^
4tQar'0q,,i7 "'(rotary Public State of
truer : Sar,dra Leone
Revised 07/15/2014
REVIEWS FRONT ZONING
COUNTER REVIEW
SAT— E:MPLTE
_O j
INITIALS
Expires 06,1C12020
STATE OF FLORIDA
COUNTY OF -era
The forgoing instrument was acknowledged before me
this 26 day of December �0 SL by
crdl� 1-e 0 A-e-
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known i�'Z—' OR produced Identification
Type of Identification Produced
SUPERVISOR I PLANS
REVIEW REVIEW
�ryY�{•
No. �.1;11"4'a`1;Z9ZPubIic State of
Sandra Leone
M7 Commission GG 0
VEGETATION SEA TURTLE MANGROVE
I
REVIEW REVIEW REVIEW