HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR
APPLICATION TO BE ACCEPTED Q /rq
Date: (t)c� Permit Number: 1 \
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Building Permit Applicati n RECE vf=d
Planning and Development Services DEC 0 5 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST.j_ui County,Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resi
PERMITTYPE: Buildina I
,PROP.OSED;I-MPROUEMENT LQCATIQN `- ,.. ,
Address:
Property Tax ID#:I3271- )C-M1l0-om`3 Lot No. 20
Site Plan Name: Block No.
Project Name:
"
D&T ILEDPDE5CRIPTRCIN1OF,WORK:
Construct Single Family Residence
Bedrooms: Bathrooms: 2 Garage: Z
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CONSTRl1L"TION•INFORIVI,4TION:
Additional work to be performed under this permit— check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters 'Windows/Doors
]/Electric, _v4lumbing' I ✓Sprinklers _Generator ✓Ro�ofl Pitch
Total Sq. Ft of Construction: 21 l iLiMSq. Ft. of First Floor:
Cost of Construction: $ 100,000 Utilities:l/ Sewer _Septic Building Height:
OWNER/LESSEE . ;_ '.
CONTRACTOR' - =.• ' •. - ,
NameGRBK1GHO 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 No 772-873-1711
E-Mail: Permitting@ghohomes.com
Till in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Permitting@ghohomes.com
State or County LicenseCBC051145
It 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.
SUPPL-EMEN7AL CONSTRUCTION LIEN;LAW INFQRMATIONt
DESIGNER/ENGINEER: _
N ame-Nuelle Engineering
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:++fi34 sw aaerme st
Address:
City: Pon St Ludo
Zip:34897 Phone56+42M975
State: Fl
City:
Zip: Phone:
State: _
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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 OVEMENTS TO YOUR PROPERTY. A NOTICE OF COM CEMENT MUST BE RECORDED AND
POSTED ON TH4 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTFND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICIE OF COMMENCEMENT."
Signature of Ow / ntractor as Agent for Owner
Sign ontrac License Holder
STATE OF FLORID -
STATE OFPL43jPA
COUNTY OFsLLucie
COUNTY wae
The forggppmg ins ument was acknowledged before me
O'Rayof=�20ft
The forgoing instrument was acknowledge efore me
this by
this�dayof �fJ'ytlDdV 20�by
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I,t nil'Ong Hond.icr
Name of person making statement.
Name of person makingstatement.
/OR
Personally Known 1� OR Produced Identification _
Personally Known`Produced Identification
Type of Identification
Type of Identification
Produced
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Produced
A -
(Signature of Notary Public tate of Florida)
(Signature of Notary Public- State of Florida )
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REVIEW REVIEW
REVIEW
DATE
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DATE
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