HomeMy WebLinkAboutBuilding Permit ApplicationAUG 13 "01.9
ALL APPLICABLE INrO MUST DE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date. AAvl1-\_ Permit Number:
13
09*1
Building Permit Application
Planning and De e(opment Services
Building end Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34962
Phone: (772) 462-1553 Fax: (?72) 461.1578
Commercial Residential X
PERMIT APPLICATION FOR: Building _U�11
I PROPOSED IMPROVEMENT LOCATION: III
Address:
Legal Description:
Proper-y Tax In
site Plan Name: J f 1.1 11
=r.uscr wmll& �
Lot No._
'l l .�'j T(\ n 1.t _ Block No.
project Nar••e.
Setbacks Front 2S .5 Back:Right Side:2it'()' Left Side: ?J '
DETAILED DESCRIPTION OF WORK: III
Construct Single Family Residence
Bedrooms 3 Bathrooms le-7) '2 Garage 3
I CONSTRUCTION INFORMATION: III
EVI7IHVAC Gas Tank FIG,"FIG,"Pil _ Shutters Windows/Doors
�EElectric Plumbing ZSprinklersGenerator L�—Rroof Roof pAcn
Total Sc. Ft of Construction: 4 2 Z, S Ft. of First Floor: 422
Cost cf Comtrucimw 5 1011.001 _ utilities: usewer septic Building Height:
OWNER/LESSEE:
Name CRaK CHO r.tcndcxaa4 LLc
Address:5S0 NY: },tnv:an!:fi Placc
City: Pcn St Lucie StmJL
Zip Code: 349e6 Fax:561-60R-Ge05
Phone No.772.073-171'.
E-id ai!: reeecca::�rrhahcmec.cem
Fill in fee simple Title Holder on next page ( it different
from the Ovmer listed above)
If value or construction Is 52500 or more, a RECORDED No
Name. MU.m Haltllw
Company: GHO Homes Corp
Adcress: 590 N W Morcan llo Place
City: Part St Luc1e State -FL
2+p Cooc: 3.198r, Fax: 501-600-0909
Phone fao. 772.073.1711
E-Mad: reneccac +Ohahumes.wm
State or County License: CEIC051145
M
SU•QE1,'i1NTRU����j�iijfiN��A1��.;T_•ly��
MORTGAGE COMPANY:
Name:
,_ Not Applicable
DE5IGNER ENGINEER: Not Applicable
Name:_NuLUt_ £Iv,;r7errirv,
_
Address: rres sn'n�:r s�
Address:
City: rans1t.e, State: n
Zip: u;lr Phone cravens
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
Name:
BONDING COMPANY:
Name:
Address:
Not Applicable
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 certily that no work or Installation has commenced prior to the Issuance of a permit.
St. wfe Caun[Ny makes no representation that is granting a permit will authorize the permit holden to build the subjects tructure
which is In con(Ilct with any applicable Home Owners Assaciatlon rules, bylaws ar 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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted an the Jobsite
before the first inspection. If you intend to obtain financing, consult with le'Ider or an attorney before
tin,.,m rnmmnnrina arnr4 nr enrnrdina n,., hlntiro nF rnmnnremenr
Signature off whet) -Leff a/Contractor as Agent for Owner
Signature o C tractar LL�ense Holder
STATE OF FL
LLI
STATE OF FLOgIDA
(-1- �•U UC
COUNTY OF .S 4- • C.;e—
COUNTY OF
T he fo�&I instrumen vps acknowledgrS,rr�� before me
The toJggme instrume was acknowledged before me
this 20 by
this, ±I ay of C 20/� by
ay of
�I�II FM f jatin (Pi
11
L) I�iAM� H yl•�J.!✓
Name of person making statement
Personally Known�G OR Produced Identification_
Name of person making statement
Personally Known On Produced Identilicalion
Type of Identification
Type of Identification
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(Sian ero ' •or�,Ae II P'+)da i e ecca I
a(5lgnatur r No[ary Pu NE St of Flpi� y P�! e e
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Commission No. '-+: x etc
1 Commissi
dS t fission No. 's: I�;*e Expires: J
:N•.• z; Aires: January
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Bonded thru Aaron
Note c. Bonded thl
REVIEWS
FRONTI ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TU RTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVI EIV
REVIEIY
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Uinta
GG060876
ry 9, 2021
Iron Notary