HomeMy WebLinkAboutBuilding Permit Applicationi
All APPLICABLE INFO MUST B COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: Permit Number: 00
0%U.0211_Vft
W Building Permit Application
Plannlag and Development Services
Building and Code Regulation Division Commercial Residential X
23W Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: "(772) 462-1578
PERMiTAPPLICATION FOR: Building
=PRO `OSE(iN[PROV r' . J �.,: • , ,� �- �b.� _ - : - ` { _ ; , " L"
WENT
LO.�iF\T,I.O �I.:'�b •.7, �� •�,t:� ;a n�ir�".��:Q/r•�/.S•J . •Y'%i
IYIE�'`J'5- 4. a.. s•, 7. •��a r�r•�•i
Address_
Property Tax ID #: _ �•�.3 - Z. i�0 ?✓0 - DDO -3 Lot No.
Site Plan Name: Block No.
Project Name: OLo a waoo�
r'DL<[AiID'.� r� r ti ,k.•.-. r-. '�` r Pr •. r.�•. - 1•.',' a .� . !�' J. ,',:•,' •;ram• • H•. �;;•�
E �SC,iPTfON::01:'WORK':'��� '` •,.,, �, �.' ` ,+� 'JE t t
e: nb . :Y. J•bt 4� So •' ., ''ir: •. of �..i iZ`'7 4�'t��.` '.i.i •' 's i`"rl+,•..
Construct Single Family Residence
Bedrooms; L Bathrooms: 3 Garage: ?-
New Electrical Meter X Second Electrical Meter
w..- . �y . _ -• :� ' � +. i .•'�. G•� ,� .�' �•, .wlt�•:•+�j L .a '•� � • : �• �� � J: .i :•J:�:,' �~
NTIJCTION,INOR.I,VIATtON:, �' c -,.ti at..�r ;' . �;+•
M. mat• ,A•'r •..�c 5•a.r._ •.:• +.Y (u_..b •tr :1- •.t) . •J.
Addil nal work to be performed under this permit -check all tt t apply:
'Mechanical Gas Tank Gas Piping v Shutters _Windows/Doors _ Pond
y Electric /Plumbing nklers _Generator _Roof Pitch
Total Sq. Ft of Construction: t 51. Sq. Ft. of First Floor:a-
Cost of Construction: $ 100.00 00 iities: Sewer L%Septic Building Height:
If value of construction is 2500 or more, a RECORDED Notice of Commencement Is required. '
If value of HAVC D $7,500 or more, a RECORDED Notice of Commencement is required.
�, e !P MO
a a ,,, � • s •. • --a p• Y. p(- Sl ..•.JIp.
+OWiV�R%CESSE`E: 3 �'(�,, .�y•G,; �'/��q'��'ft� �u
Ya •i .•� O i}si '{..: YI•e
F- 4�,
fCONTi3�!fC�TOR'�: �k;� :�•:;;,� �Fu+,�i�;���.
.l•I. .M• tti .� .••r ...JA. 4Y..J.
•William
Name GRBK GHO St Lucie LLC
Name: Handler
Address: 890 NW Mercantile Place
Company: GRBK.GHO Homes LLC
City: Port St Lude State:,_-_,
Address:690 NW Mercantile Place
Zip Code: 34986 F�;561-688-0909•
City; Port St Lucie State• �
Phone No. 772 773-0076
,Zip Cade: �986 Fax•.664-6884909
E-Mail: Permllttng(g2ghohomes.com
Phone No 772-773-0075
FlII in fee simple Title Holder on next page (if different
E-Mail P'3rMitUng@ghohomes.com
from the Owner listed above)
State or County License CBC051145
17
SUPPLEMENTALuCONSTRUCTION LIEN LAW.NFORMATION.
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: NueileEngineering
Name:
Address:
Address:11634 SW Rowena St
City: PortSt Lucie State: FL
City: State:
Zip:34997 Phone 561-629-6975
Zip:. Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x Not Applicable
Name:
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 andlposted on the jobsite before the first inspection.�you intend to obtain financing, consult
with lender or an attornev before commencing work or recording ur Notice of Commencement.
zf�
Signature of Owner ee/Contractor as Agent for Owner
Signature of Contr cense Holder
STATE OF FLORIDA
STATE OF FL IDA
COUNTY OF St Lucie
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
X Physical Presen or Online Notarization
x Physical Presenc o Online Notarization
this/Nay of 2020 by
this�A" of 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
Type of Identification
f ' 'cation
P uc
Ilima
Prod c
(SL6rature o No ublic lor'da
tom fission#GG06067
Commission No. = -g JanuaryCommi
i atureo Public�� orida
t� Rebecca Dima
S Ion # GG06%76
Commission No.
Aaron
Bonded thN n Notary
- . E>dp�January 9, 2021
��N,iitlt���
,,,;�• Bonded thru Aaron Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/ b/ LU