HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPL'c z cD FOR APPLICATION TO BE ACCEPTED J
Date: `QPermit Number:
c'J Oo ISl�ll`�OLS -GAL,GAL, ��
C
=1r:1591- � Building Permit Application JUN 17 2020
Planning and Development Services Permitting Departme tl
Building and Code Regulation Division Commercial Resid ntijlt. I_Lr�Li (nlmtyr F
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: BUIldina I
I'PROP SEDJ,MPROVEMENTLO;CATION.:`.,,
Address: G!7ffio Ral- t2/72 Die
Property Tax IDii:1-326- 70/ - 00 Z- 000 -%
Site Plan Name:
Project Name:
Lot No.a (, 2--
Block No.
DETAILEDrDESCRIFrTION
OF
WORK ,, `"kr', y,
i ; -.r�
Construct Single Family Residence
Bedrooms: 3 Bathrooms:
Garage:
2—
New Electrical Meter X Second Electrical Meter
CONSTRUCTIOkh
ORMATION:
Additional work to be performed under this permit -check all that apply:
'Mechanical _Gas Tank _Gas Piping _✓Shutters Windows/Doors _ Pond
Electric Plumbing NS
p prinklers _Generator Roof Pitch
Total Sq. Ft of Construction: J0 11 Sq. Ft. of First Floor:
Cost of Construction: $ 100,000.00 Utilities: ewer _Septic Building Height:
"OWNER/LESSEE";_
is N.r
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1lLYJ il.!si -..7, 'k� .iEa ik. •
CONTRACTOR sy
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Name GRBK 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.772-773-0075
Address:590 NW Mercantile Place
City: Port St Lucie
Zip Code: 34986 Fax: 561-688-0909
Phone No 772-773-0075
State: FL
E-Mail: Permitting@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 License CBC051145
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or mope, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Huelle Engineering
MORTGAGE COMPANY: x Not Applicable
Name:
Address: 11534 SW Rowena St
Address:
City: PorlSlLucie State: FL
Zip:3a9a7 Phone 561-629-6975
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 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 OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement mus be recorded in the public records of St.
Lucie County andl posted on the jobsite before the first inspection. you intend to obtain financing, consult
with lender or anlattorney before commencing work or recording ur Notice of Commencement.
Signature of Owner ee/Contractor as Agent for Owner
Signature of Contr tense Holder
STATE OF FLORIDA
STATE OF FL IDA
COUNTY OF Sl Lucle
COUNTY OF Sl Luole
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Phisical Prese a or_Online Notarization
x Physical Presence or Online Notarization
this�FNayof ..�1'Hn,e 2020 by
this 4iLdayof M, r)� 2020 by
William Handler
William Handler
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification -
Personally Known x OR Produced Identification -
Ty p
Type of Identification
odu ed
P
(Sig ota P ' - Sty grida) �
Commission N GG060876
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(Sig e o ary P lit- r • tyrida )
2_ '�= Commission GG060876
Commission No. __#: '�- as: January 9, 2021
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»_ January 9 2021
Commission GJ
Notary
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;° Bonded thru Aaron
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