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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
(M)
RECEIVED
APR -0 7 21170
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Building Permit Application
Planning and Development Services
Perart
St.. Lucie Count,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
X
PERMITTYPE: Building
_PROPOSED_IMPROVEMENT LQCATIONc. "- _•:. __ _ - __ i _'
Address:
Property Tax ID q: 13.9j
Lot No.—�7
Site Plan Name:
Block No.
ProjectName: m •e(:llXnlAJ D
J I
_DET9ILED'DESCRIPTiIOMOFWORK: _' - �" _ `- V
�
y
_-
_
Construct Single Family Residence
Bedrooms: Bathrooms:
Garage:
CgNSTRUCTION,INFORMATION: _
Additional work to be performed under this permit —check all that apply:
// Mechanical _ Gas Tank _ Gas Piping _ Shutters ' Windows/Doors
I/Electric yPluumbing✓Sprinklers _Generator ✓Roof Pitch
Total Sq. Ft of Construction: &66y Sq. Ft, of First Floor:
Cost of Construction: $ 100-000 Utilities: t/ Sewer _Septic Building Height:
OWNER/LESSEE:-
CONTRACTOR:
NameGRBK GHO Meadowood LLC
Name: William Handler
Address:590 NW Mercantile Place
Company:GRBK GHO Homes LLC
City: Port St. Lucie State: _
Zip Code: 34986 Fax:561-688.0909
Phone No.772-873-1711
Address:590 NW Mercantile Place
City: Port St. Lucie State: Fl
Zip Code: 34986 Fax:561-688-0909
Phone N0772-873-1711
E-Mail: Permitting@ghchomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Pernifting@ghohomes.com
State or County LicenseCBC051145
it value or construction is 5Z500 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.
',SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: NaGIa EBAiBGH;ae
MORTGAGE COMPANY:
Name:
Not Applicable
Address:"Bm SW Rowena Si
Address:
City: PonaLL as State: Fl
Zip: veer Phonewl4rA m
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
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 Counttyy makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure
which is In conflict with any applicable Home Owners Assocation 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
"WARNING TO OWN R: YOUR FAILURE TO RECORD A NOTICE OF COMMENC MENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP OYEMERITS TO YOUR PROPERTY. A NOTICE OF CGMRVNCEMENT MUST BE RECORDED AND
POSTED ON THEI JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTFNO TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICIE OF COMMENCEMENT."
Signature of Ow / ntractar as Agent for Owner
Sign ontrac License Holder
STATE OF FLORID
STATE OF 5kdRPA
COUNTYOFsLia
COUNTY wda
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 14 of vGh. .20 2aby
this �, day of /�%YG - .207`7by
WitliCran HGhdler
WilliGm Hnnd.ler
Name of person making statement.
Name of person making statement.
Personally Known ✓
�OR
OR Produced Identification _
Personally Known Produced Identification
Type of Identification
Type of Identification
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Commission No. , 6 3SeA?`I1
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MANGROVE
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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