HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: 12� � L� Permit Number: I ICo
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Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Build
ENT
Address:
e
Building Permit Applicati661%,t'po.
cg`.� P'r
Commercial Residential x
Property Tax ID #: 133LI - c5a2 - QQI9 - OUD - (P Lot Noj V Z
Site Plan Name: Block No.
Project Name: LAe—cdL acod m-k I nZ
DETAILED DESCRIPTION!OF WORK:
Construct Single Family Residence
Bedrooms: Bathrooms: 12) Garage: Z
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
/LMechanical _ Gas Tank _ Gas Piping _ Shutters ' Windows/Doors
.[Electric plumbing ✓Sprinklers _Generator Roof Pitch
TotaLSq Fto Cons ) S7
Cost of Construction: $ 100-000
Sq. Ft. of First Floor:
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: FI
Zip Code: 34986 Fax: 561-6B8-0909
Phone N0772-873-1711
E-Mail: Permiting@ghohomes.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Permitting@ghohomes.com
State or County LicenseCBC051145
If value of construction Is $2500 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 MORTGAGE COMPANY: Not Applicable
N ame-neePe E.&-ft Name:
Address: 11634 SWRom. sl Address:
City: P SLWde State: R City: State:
Zip:34897 Phone514294975 Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓Not Applicable I BONDING COMPANY:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
Applicable
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
"WARNING TO OWN YOUR FAILURE TO RECORD A NOTICE OF COMMENC ENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP 0YEMENTS TO YOUR PROPERTY. A NOTICE OF COMhFNCEMENT MUST BE RECORDED AND
POSTED ON TH JJOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT ND TO OBTAIN FINANCING, CONSULT
wr YOI IR 1 FN111IIIAASAASFR flR AN ATfnRNFY RFFORF RFCORnIN6 YntIR NOTICIE OF COMMENCEMENT."
Signature of Ow / ntractor as Agent for Owner
Sign ontrat License Holder
STATE OF FLORID
STATE OFF RI
COUNTYOFsuede
COUNTY mde
The r Ding instr ent was a knowledg before me
Tnejy ing inst enter _ was ackn� IedgGd.before me
thiay of r r" v 20 t' by
thi��,j�' day of {LX.1�1.T 20, by
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification _
P all K n OR Produced Identification
ion
Type of Identification
Produced
Produced- C. KelAIBM �R
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Commission No. 2 gV (Seal)
Commission N4(A7g91� (Seal)
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.