HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I G
Building Permit Application DEC 2 7 2017
Piartn►ng and Development Services
Building and Code Regulation Division
PE RM II-Ti NG
2300 Virginia Avenue, Fort Pierce FL 34982
St. Lucia CCUniy, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Residential X
PERMIT APPLICATION FOR: Building
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PROPOSED IMPROVEMENT LOCATION:
Address: J tij�p�4,�lkQ_ r
es c q �I
Legal Description: CREEKSIDE PLAT NO. 1 (PB 55-12) LOT
Property Tax ID 4: 2326-600-.0 (�
Lot I NO
No.
Site Plan Name:
Project Name:
Block No.
/
Setbacks Front_ Back: Right Side: _ il0 LeftSide:
DETAILED DESCRIPTION OF WORK:
Construction for new Single Family Residence cciij . ezb
e
2-
CONSTRUCTION INFORMATION:
�- - ---. •- -- -- unum un� Nerrmt—GneCK all apply:-
✓ HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers Generator Z Roof Roof pitch
Total Sq. Ft of Construction:
o S . Ft, of First Floor:
ii �C�f"'
Cost of Construction: $ . 13 tl � Utilities: 21 Sewer Septic Building Height:
OWNER/LESSEE:
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)
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: Malboumepennitting@DRHorton.com
State or County License: CRC1327068
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
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F
L CONSTUCTION LIEN LAW INFORMATION:
__
Name: As Oeoign croup Inc.
Address: 1441 N. Ronald Reagan Blvd.
City: Longwood State:
Zip: 32750 Phone: 407 44 B07a FL
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip' Phone:
MORTGAGE COMPANY: Name: _ Not Applicable
Address.-
City- State:
tip: ,. Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
=Not Applicable
I certify that no work or installation has commenced prior to the Issuance of a permit.
St.
Is In conflict�awith any applicabletHothat
e Owners Association rules authorize
ylaws or and covenants that may estrict or prohibit suC
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 h
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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 „an':—'/'- 5
- o .. Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Bre'ard
The forgoing instrument was acknowledged before me
this 96 day of December 20 17 by
Lea,
(Name of person acknowledging )
I
(Signature of Iotary�p(ublic- State of Florida)
Personally Known V \ OR Produced identification
Type of Identification Produced
Commission No.
=4�ea otary Public State of FI
Sandra Leone
Revised 07/15/2014 �`x%f�Oy Expires ct /`crzozo- y
REVIEWS FRONT I ZONING
COUNTER REVIEW
INITIALS
STATE OF FLORIDA
COUNTY OF a--,
The forgoing instrument was acknowledged before me
this 26 day of December 20 1_ by
(Name of person acknowledging )
(Signature of Notary Public- 5tate of Florida)
Personally Known OR Produced identification
Type of Identification Produced
AJ4�9 _
rrvx
--`—�_ a°v''* 44al� ctary Public State of
Sandra Leone
o` N17 Commission GG 0
SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW
REVIEW