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APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE CCEP NuDmber:` 1 003' 901'
Date: Perm
T Building Permit Application REC�/ED
Planning and Development services MAR 117829
Building and Code Regulation Division pBnnitting pe
2300 Virginia Avenue, Fort Pierce FL 34982 St, Jug Cair<m
n en!
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X h•
PERMITTYPE: Building
Address: Buchanan Dr
Property Tax ID #: 3402-603-0071-000-2
Site Plan Name: Buchanan lots 22 & 23
Project Name: Buchanan22
Construct Singke Family Residence
Bedrooms:4 Bathrooms:3 Garage:2
Lot No.22 & 23
Block No. 9
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical
Electric
Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 2806
Cost of Construction: $ 100,000.00
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor: 2806
Utilities: _Sewer _Septic
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR: , ,
Name Daniel and Christine LaFleur
Name: William Handler
Address:2060 SE Saint Lucie Blvd
Company:GRBK GHO Homes LLC
City: Stuart State: _
Zip Code: 34996 Fax:
Phone No.772-873-1711
Address:590 NW Mercantile PI
City: Port St Lucie State: FI_
Zip Code: 34986 Fax: 561-688-0909
Phone N0772-873-1711
E-Mail: Permitting@ghohomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permitting@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
Name: Nuelle Engineering
MORTGAGE COMPANY: _
N a me: CenlerSWe Bank
Not Applicable
Add reSS: 11634 SW Rowena St
Address: 86521elsl
City: Pml Sl Lude State: FI
Zip: 34987 Phone66142941976
City: Vero Beach
Zip: 32960 Phone: 772-234-7858
State: FI
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not
Name:
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 co 14ict 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CO MENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU [WEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sign t re o Owner/ Lessee/Contrac r as en for Owner
Signature of Con r cerise Holder
STAE OF FL
�D, LUG
STATE OF LORI Ll �i i'e
COUTNTY OF
COUNTY O
The f r oinginstrument was acknowledged before me
The forging Instrument was acknowledged before me
l�t'8ayofMCIYCn
this day ofryVa r\ ,2U�by
this .20-by
hconiCk N Chris-Iire,
i,�ifticwn i4ni-Ic1ix-f
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
e'dL'
ProfdAA'u
Produce
dL{L(
2S2 O
rc
btA
(Signature of Notary Publit ,-�,,,a't,e of Florida)
N°MI1
Commission
(Signature of Notary Public- State of Florida )
No.
R(agl4glu « x
7699192
Commission No.C.,6g2_LIQIU
011
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATU
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIE "11
f�
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19