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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c1 b0� _ `, UW - Date: Permit Number: �1S ---- -W( q0 Building Permit Application Planning and Development Services Building and Cade Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (772) 462.1578 Commercial Residential X PERMITTYPE: Building DRnPhr%F:n IMPROVFNIFNTLOCATION-'-- Address: -3 (V Dc;� RV10 I I WUVVt F-u v IL/ Property Tax ID #: 7 7QI 0022 CZ9-0 / Lot No. Site Plan Name: 41 �j Block No. r�/� Project Name: I r I'e�. 00 �D DETAILE'Q'b' RIPTIE ©F WORK:, - ? Construct Bedrooms: Residence 3 Bathrooms: CONSTRLJCTIOWINFORMATII N E Additional work to be performed under this permit- check all that apply: /LMechanical _Gas Tank _Gas Piping _Shutters .[Electric - Plumbing ✓Sprinklers _Generator Total Sq. Ft of Construction: Sq. Ft, of First Floor: Cost of Construction: $ 100-000 Utilities: i/ Sewer _Septic Windows/Doors ✓Roof Pitch Building Height: OWNER/LESSEE' - -._ EONTRAGfOR: ...._ 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: 561-688-0909 Phone N0772-873-1711 E-Mail Permitting@ghohomes.com E-Mail: Permitting@ghohomes.com Fill In fee simple Title Holder on next page ( if different from the Owner listed above) State or County License CBC051145 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 CONSTRh1CTION LIEN LAW INFORMATION: Name: NuNI"D9b.&9 Address:11SUSwa "asp City: PmStUdo State: Fl Zip: usel PhoneM+4294975 MORTGAGE COMPANY: ,Not Applicable Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: ✓Not Applicable I BONDING COMPANY: Name:Name: 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 Counmakes no representation that is granting a permit will authorize the permit holder to build the subject structure which Is In conttyy lct 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 OYEMENrS TO YOUR PROPERTY. A NOTICE OF COM NCEMENT MUST BE RECORDED AND POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT D TO OBTAIN FINANCING, CONSULT WITH YOUR LE ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Ow / ntractor as Agent for Owner Sign t License Holder STATE OF FLORID W-RI STATE OFCOUNTYOFSLtua. COUNTY The for Ding instrument was acknowledged before me ra this 3,dayof,mQYO�' The far going instrument was acknowledged before me �.`� thiXI day 4MYZA 20Ze-by .20y y l�(c, lnJiljiClrn ifCihdler °�°°° Wi►liGm IlCmdlc� m�°�, Name of person making stat ment. :m boo co �o Name of person making statement. QQ Personaliy Known OR Produced IdentQif i��a�34� / a Personally Known � OR Produced Identificatio of �c Type of Identification Vo Q� a0 Type of Identification G. Prod P-0 ' (Sig re o ry P - ate o a4 ,���� (Signs a of Nota Pu o on Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED k"v, cr q lv