Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: I I O Building Permit Application DEC 2 7 2017 Planning and Development Services Building and Code Regulation Division PERMITTING 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie -County, FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X — PERMIT APPLICATION FOR: Building PROPOSED IMPROVEMENT LOCATION: Address: 9�231,2t .J,Zd - c Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT Property Tax ID #: 2326-600- ©00 Site Plan Name: Project Name: Setbacks Front Back: �� Right Side : __L_ Left Side: i t DETAILED DESCRIPTION OF WORK: Construction for new Single Family Residence CONSTRUCTION INFORMATION: ✓ HVAC Gas Tank ❑Gas P Z✓ Electric 0 Plumbing ZSprinl Total Sq. Ft of Construction: ��� CostofConstruction:T !LI� �;�,3t OWNER/LESSEE: A20C14 19lo5 Lot No.__J_ Block No. — cnecx an fiShutters apply:ing 0 Windows/Doors ers 1:1 Generator Roof _ Roof pitch S . Ft. of First Floor: VIA Utllities:5ewer 0Septic Building Height: 2— 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 I 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. 321-733-2111 E-Mail: MelboumepennitGng@DRHarton.com State or County License: CRC1327068 If value of construction to SZS00 or more, a RECORDED Notice of Commencement Is SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: N„r A.,..r:, t_t_ • .�+t+n�aanc Name: AB Design Group Inc. Address: 1441 N. Ronald Reagan 31A. City: Longwood State: Zip: 32750 Phone: 4or-"-sma FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address; City: Zip: Phone: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: —Not Applicable Name: Address: 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. concurre ncy 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 comma work or recordingyour Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner ­a.'ature of ontractor/License Holder 5 STATE OF FLORIDA COUNTY OF Bre,ard The forgoing instrument was acknowledged before me this 26 day of December 20 17 by Lew (Name of person acknowledging ) (Signature o Mary PP((ublic- State of Florida ) Personally Known 0( OR Produced Identification Type of Identification Produced Commission No.,r°�` ea ;UZPRY aL ^ otary Public State of FI d . Sandra Leone Revised 07/15/2014 Expires t erazozos 1 REVIEWS FRONT ZONING COUNTER REVIEW INITIALS STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this 26 day of December 20 6 by dod,/, /,eo,_c (Name of person acknowledging) (Signature of Notary Public- State of Florida ) Personally Known �— OR Produced Identification Type of Identification Produced AL,�ftft No. t r 1 �- a y�•�y =a ' §**alj ctary Public State of Sandra Leone oQ M7 Commission GG D SUPERVISOR I PLANS I VEGETATION SEA TUR RETLE I MANGROVE REVIEW REVIEW REVIEW VIEW REVIEW