HomeMy WebLinkAboutBuilding Permit Application411
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date; \,aTU'\ Permit Number:
Building Permit Application DEC 112019
Planning and Development Services I ST Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: Building 5 V- K
PROPOSED IMPROVEMENT LOCATION:
Address: " Itd' a) ITV IL21 1 (AJIJLJ(1 L Y 1
Property Tax ID »: Is ow - Li Lot No.-'5-7
Site Plan Name: Block No.
Project Name: Mf Ckd,0 A W 104- S__1
'DETAILED DESCRIPTION OF WORK: Q1
Residence
Bedrooms: 3 Bathrooms: 3 Garage: a C. V 1, cjq f an-t N
Additional work to be performed under this permit —check all that apply:
/LMechanical _Gas Tank _Gas Piping _Shutters
./Electric-Olumbing ✓Sprinklers _Generator
Total Sq. Ft of Construction: S Sq. Ft. of First Floor: _
Cost of Construction: $ 100,000 tilities: t/ Sewer —Septic Building Height:
'� Windows/Doors
Roof Pitch
OWNER/LESSEE:
CONTRACTOR:
NameGRBKIGHO Meadowood LLC
Name:William Handler
Address: 590. NW Mercantile Place
Company:GRBK GHO Homes LLC
City: Port St. Lucie State: 191
Zip Code: 34986 Fax:561-688-0909
Phone No.772-873-1711
Address:590 NW Mercantile Place
City: Port St. Lucie State: A
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 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 CONSTRUCT -ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: NueHeEnginm a Name:
Address:11634 sw Rowena ai Address:
City: PMS1 Ludo State: Fl City: State:
Zip:349" Phone56+42eae75 Zip: Phone:
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable I BONDING COMPANY:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
Applicable
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 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 OYEMENTS TO YOUR PROPERTY. A NOTICE OF COMNFNCEMENT MUST BE RECORDED AND
POSTED ON THEI JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTJEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Ow - / ntractor as Agent for Owner
Sign ontrac License Holder
STATE OF FLORID
STATE OFi�
COUNTY OFsi.weie
COUNTY wan
The forgoin gins ument was acknowledgbefore me
The for oing ins ument was acknowledgepefore me
this da of 20 b
this a of ZO_ by
ujl) Vcw Rondlcr
LARiliGm Handler
Name of person making statement.
Name of person making statement.
Personally Known _L�OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
- 1�.A I l�
Produced
& . V , I A 1.v�,2
(Signature of Notary Public- to of Florida
rre of NootarryQu� bblli(c,- StdWof Florida )
CommfssionNofi�42qR10 • C f
W
�.TiM_r,No� "J J� L_Lf_�
AltoCMem
0 mml
REVIEWS
FRONT
ZON
FEF'NiSO�
PLANS
VEGETATION
SEATO 80f
COUNTER
REVIE
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
DATE
1,
RECEIVED
1� l
DATE
COMPLETED:
Kev.2///19 I I V /