HomeMy WebLinkAboutBUILDING PERMIT APPLICATION-�553Z
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y
Date: Permit Number:
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Building Permit A I' t'
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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7 2017
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Commercial Residentlgpi�ounty, FL
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: ��� l%II t
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT
Property Tax ID #: 2326-600- UCS — pL) _ 4
Site Plan Name:
Project Name:
Setbacks Front ° Back: Right Side: 1
g \� Left Side: �
DETAILED DESCRIPTION OF WORK:
Construction for n Single Family Residence
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CONSTRUCTION INFORMATION:
Lot No. — —Ulu
Block No.
". PceaIH_ Ule'GK arl apply: -
a✓ HVAC Gas Tank Gas Piping _ Shutters
Q Windows/Doors
Electric O Plumbing Sprinklers Generator
Roof oof
Total Sq. Ft of Construction: _ S . Ft. of First Floor:
Cost of Construction: $ l7 Utilities:Sewer aseptic Building Height:
ht:
—
EE:
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: Melboumepermilting@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: Meiboumepermitting@DRHorton.com
State or County License: CRC1327068
If value of construction is $2S00 or more, a RECORDED Notice of Commencement Is required.
r[:S�P::P:LE_ENMTAL CONSTRUCTION LIEN LAW INFORMATION:
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--�����..n/ F-11WIVICtK: Not Applicable
Name: AB Deskin Group Inc.
Address: 7441 N. Ronald Reagan Blvd.
City: Longwood State: FL
Zip: 32750 Phone: 407-046078
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address;
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City -
ZIP: _________ Phone:
v Not Applicable
State:
BONDING COMPANY:rF
Name: _Not Applicable
Address:
City:
ZIP: —^..,_ Phone:
1 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
structure. Please consult with your Home Owners Association and review your deed
which is in conflict with any applicable Home Owners Association rules, bylaws or anti covenants that may restrict or prohibit such
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 Cedes 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 recordin our Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OFBra,ard
The forgoing instrument was acknowledged before me
this 96 day of December 20 17 by
ku6la. Leav
(Name of person acknowledging )
I
(Signature o otaryyPublic- State of Florida )
Personally Known C/\ OR Produced Identification
Type of Identification Produced
Commission No. �
• R. 0,�1 ea Clary oa . yo ola Public Slate of FI
? $andfa Leone
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Revised 07/15/2014 i` o%iLoA 1 Expires cenr fzozaa 1
REVIEWS FRONT ZONING
COUNTER REVIEW
ATE I
OMPLETE41 1
INITIALS
Si nature of ontractor/License Holder 5
STATE OF FLORIDA
COUNTY OF ii—� d
The forgoing instrument was acknowledged before me
this 26 day of December
Jam
20 17 by
dp�,- %eo A-e
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known 1:�>/— OR Produced Identification
Type of Identification Produced
v TYYIry
NO. al)lotury Public State of
Sandra Leone
?, o` My Commission GG 0
SUPERVISOR I PLANS I VEGETATION SEA TURTLE MANGROVE
REVIEW A REVIEW REVIEW REVIEW REVIEW
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