HomeMy WebLinkAboutbuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I1 `ate CO C;
0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION: \
Address:
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT
PropertyTax I D #: 2326-600- (du
I�JSite Plan Name: Lot No.
Project Name:
Block No,
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence A60k ko 70lr-
CONSTRUCTION ARORMATION:
0HVAC alas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
'ar
Cost of Construction: $
OWNER/LESSEE:
Name D.R. Horton
Address: 1430 Culver Drive NE
City: Palm Bay
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
from the Owner listed above)
2
- cnecx an appFy-
Gas Piping_
State:
different
Shutters
Windows/Doors
Sprinklers
Generator ✓�
Roof
Roof pitch
S
. Ft, of First Floor: _
Z Utilities:2Sewer aseptic Building Height:
CONTRACTOR:
Name: Brian W. Davidson
Company: D.R. Horton
FLAddress:
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
State or County License: CRC1327068
If value of construction is $2S00 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW
INFORMATION:
MER/ENGINEER:
Applicable
_Not
AB oesign Group Inc.
FAddress:
MORTGAGE COMPANY: Not Applicable
1441 N. Ronald Reagan Blvd.
Name:
City: Longwood
Zi azrsState: Fi
p: o Phone: 407.4"078
Address:
City:
--__
State:
Zip: _,� Phone:
FEE SIMPLE TITLE HOLDER: 11'/` Not Applicable
Name:
BONDING COMPANY:
Address:
_,Not Applicable
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. 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
commencing work or recording your Notice of or an attorney hPfnrnCo
Signature of Owner/lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Bra.ard
The forgoing instrument was acknowledged before me
this 9_ day of December ZO 97 by
(Name of person acknowledging)
(Signature o otary�p(ublic- State of Florida )
Personally Known V\ OR Produced Identification
Type of Identification Produced
Commission No. ea
°far^ otary Public State of FI
Sandra Leone
r
Revised 07/15/2014 y� °- y`O; Expires cerlorzozo- 1
REVIEWS I FRONT f ZONING
COUNTER I RFVIFw
INITIALS
rssr�sr,�r. -
Si nature of ontractor/License Holder S
STATE OF FLORIDA
COUNTY OF er°vard
The forgoing instrument was acknowledged before me
this 26 day of December
20 -17__. by
— Aa"Ll' /",--
(Name of person acknowledging )
(Signature of Notary public- State of Florida )
Personally Known t-lz-- OR Produced Identification
Type of ldentificatlon Produced
T TY YIty
NO.@aI) otary Public Slate of
_ %; Sandra Leone
o` My Commission GG 0
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