HomeMy WebLinkAboutBuilding Permit Applicationr�-
All APPLICABLE INFO MUSST, BE COMPLETED FOR APPLICATION TO BE ACCEPTED I (DIM ley(
Date:
,` I W LC / Permit Number: o I
• Building Permit Application IM`EVED
Planning and Development Services ' i'�B 1 41511
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ttttn9 Depaent
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential. county
PERMITTYPE: Buildi
Address:
Property Tax ID q I Si-b - -c.Lu I - Q00 Lot No. I
Site Plan Name:
Project Name: I L )+ I
,DETAILED DESCRIPTION OF WORK: ''
Construct Single Family Residence
INFORMATION:
Additional work to be performed under this permit -check all that apply:
ZMechanical _ Gas Tank _ Gas Piping _ Shutters
,Electric y/Plumbing ✓Sprinklers _Generator
Total Sq. Ft of Construction:
Cost of Construction: $ 100,000
Sq. Ft. of First Floor:
Block No.
✓ Windows/Doors
✓Roof Pitch
Utilities: t/ Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGRBKIGHO 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: 561-688-0909
Phone No772-873-1711
E-Mail: Permitting@ghohomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permitting@ghchomes.com
State or County License CBC051145
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is requires.
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: Nuelie Ensmeonns
MORTGAGE COMPANY:
Name:
-.,,ZNotApplicable
Address: 11634 SW Rowena S,
Address:
City: PGASLLeCIe State: Fl
Zip:34987 PhoneE++=a-8975
City:
Zip: Phone:
State:_
FEE SIMPLE TITLE HOLDER: _ 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 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 R: YOUR FAILURE TO RECORD A NOTICE OF COMMENC MENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP OYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT ND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIOE OF COMMENCEMENT."
Signature of Ow / mractor as Agent for Owner
Slgn ontrac Ucense Holder
STATE OF FLORID
STATE OFF RI
COUNTYOFULude
COUNTY wcle
The forging instr ent was acknowledged efore me
this = day of!t[�ru 20 acknowledged
The forgoing instrument was acknowledged before me
th!IMday of Q1 20.P2 by
(,)illiC�rn t♦Gh�lei'
WrllGYg Handler
Name of person making statement.
Name of person making statement.
Personally Known _Lz�_OR Produced Identification
Personally Known L-�OR Produced Identification
Type of Identification
Type of Identification
Produced 1 l ' 1 /�
Produced (/ i r ' I
(Signature of Notary Publi tateof Florida)
Commission No.7,CG�qlo (Seal) ww11�
We'. C.
(Signature of Notary Public- �5 a of Florida )
ssion No `1q[b (Seal)
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FRONT
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SEATI LOld
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REVIEW
REVI
DATE
RECEIVED
DATE
COMPLETED'
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