HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/10/19
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
�n (2� Permit Number: 1(o n f V
Building Permit Applicatiap SFpja CFO
(4cPo R7
40,04'",
Commercial Residential x
PERMITTYPE: SFR SCANNE®
PROPOSED'lMPROVE MENT LOCATION: , ,BY
RRDR (.nhhlectnne nr Ff Pierce FI P rrnin /
PropertyTax ID #: 2326-600-0075-0005
Site Plan Name: Creekside Plat#1
01 Project Name:
DETAILED DESCRIPTION OF WOk-
Construction of a new single-family residence
# of Bedrooms: 3 # of Bathrooms: 2 # of Garages: 1
LEFT
CONSTRUCTION INFORMATION:
Lot No. 70
Block No.
Additional work to be performed under this permit —check all that apply:
X Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
X Electric X Plumbing _Sprinklers _Generator X Roof
Total Sq. Ft of Construction: " 10
Cost of Construction: $ 127,490
Sq. Ft. of First Floor: 1768
Utilities: X Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DR Horton Inc
Name: Brian W. Davidson
Address: 1430 Culver Dr NE
Company: DR Horton Inc
City: Palm Bay State: _
Zip Code: 32907 Fax:
Phone No. 321-733-2111
Address: 1430 Culver Or NE
City: Palm Bay State: FL
Zip Code: 32907 Fax:
PhoneNo321-733-2111
E-Mail: Melboumeoermittingraa)drhorton.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Melbournepermitting@drhorton.com
State or County License CRC1327068
It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTIQN LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable
Name: AB Design Group Inc
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 1441 N. Ronald Reagan Blvd
Address:
City: Longwood State: FL
Zip: 32750 Phone 321-802-3591
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF BREVARD
The forgoing instrument was acknowledged before me
this 10 day of September 2019 by
Brian W. Davidson
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Pub„'^ te
_ -` -�
Commission
Bonded Thin
REVIEWS I FRONT ZONING
COUNTER REVIEW
RECEIVED
COMPLETED
8 FF 9578M
try 27, 2020
STATE OF FLORIDA
COUNTY OF BREVARD
The forgoing instrument was acknowledged before me
this10 day of September 2019by
rian W. Davidson
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
C�2
(Signature of Nota P
r`0
?'PRRE ''= MY COMMISSIoo��N R FF 9578M
Commission No. >.• A� :*? _....,..cc. ce%5�aII7,2020
SUPERVISOR REVII I PLANS REVI W I VEGETATION EVI WI S REVIEW LE MANGROVE