HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4-,
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TP 13E ACCEPTED
Date: `(%Ci
^(� q/''/���� Permit Number;70
(51 I� IF ji nN
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Planning and Development Services Building Permit Appllcat14nDEC 2 7 2011
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982 BY: .......................
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
c4
Address: '1 12-- e4l,(nl AA
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT
Property Tax ID #: 2326-600- 000 _
Lot
Site Plan Name:
Project Name: Block No.
�1
Setbacks Front Back; Right Side: � cTLeft Side:11 �
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence Calu
CONSTRUCTION INFORMATION:
�✓ HVAC Gas Tank "Gas Piping
4Electric 60Plumbin Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ J��A i
OWNER/LESSEE:
(821b
2—
Shutters �✓ Windows/Doors
Generator ✓� Roof Roof pitch
5 Ft. of First Floor:
Utilities:'2Sewer []Septic Building Height:
Name D.R. Horton
Address: 1430 Culver Drive NE
City: Palm Bay State: FL
Zip. Code:3290.7 Fax:321-733-7092
Phone No. 321-733-2111 r
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
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: Melboumepermittng@DRHorton.com
State or County License: CRC1327068
or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: Not Applicable
Name: AS lemon Group Inc.
MORTGAGE COMPANY: Not Applicable
: ,aa, N. Ronald aeaaan Blvd. Address
_
City: Longwood
Address:
State:
Zip: 327s�i— phone: a0r4.,$07a
City. State:
ZIP:
FEE SIMPLE TITLE HOLDER: Not Applicable
--_` Phone:
____
Name:
BONDING COMPANY:
Applicable
Address:
_,Not
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 attorney befo
commencine work or recordinP your Notice of Co
Z
Signature of Owner/lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF aiavard
The forgoing instrument was acknowledged before me
this,_ day of December 10 17 by
creme Loam
(Name of person acknowledging )
r
I
(Signature o otaryy�Pyyublic- State of Florida )
Personally Known 0( OR Produced Identification
Type of Identification Produced
Commission No. fig,A
--
� s� otary Public State of
? �a Sandra Leone
Revised 07/15/2014 5 `x °i Expires ceraer2ozo
mmencement re
Si nature �ofontractor/License Holder 5
STATE OF FLORIDA
COUNTY OF a--,
The forgoing instrument was acknowledged before me
this 26 `day
of December �0 17_ by
�POx_
(Name of person�ackknno-'wledging )
(Signature of Notary Public- State of Florida )
Personally Known �-- OR Produced Identification
Type of identification Produced
-
REVIEWS FRONT ZONING SUPERVISOR PLANS
ATF COUNTER REVIEW REVIEW I REVIEW
INITIALS
No. _ oti�y r al} otary Public State of
? ° Sandra Leone
_ - oQ M7 Commission GG 0
VEGETATION SEA TURTLE I MANGROVE
REVIEW REVIEW REVIEW