HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: Permit Number:
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Building Permit Applicafijbn
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Planning and Development Services
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
PROPOSED IMPROVEMENT LOCATION:
Address: 2(J2B COY1\v--f-1' Or
Property Tax ID #: -132A - 2 - C 020 - QW - Lot No.A?1L
Site Plan Name: Block No.
Project Name: 1AfQAd-4x))Q0& RA �y3
DETAILED'DESCRPPTION OF WORK: `
Construct Single Family Residence
Bedrooms: Bathrooms: Garage: 2
CONSTRUCTION :INFORMATION:
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
]Electric plumbing ✓Sprinklers _ Generator Roof Pitch
Total Sq. Ft of ConstructSq. Ft. of First Floor:
Cost of Construction: $ 100,000 Utilities: t/ Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGRBKGHO Meadowood LLC
Name:William Handler
Address: 590, NW Mercantile Place
Company:GRBK GHO Homes LLC
City: Port St. Lucie State: F71
Address:590 NW Mercantile Place
Zip Code: 34986 Fax:561-688-0909
City: Port St. Lucie State: FI
Phone No.772-873-1711
Zip Code: 34986 Fax: 561-688-0909
E-Mail: Permitting@ghohomes.com
Phone N0772-873-1711
Fill in fee simple Title Holder on next page ( if different
E-Mail Permitting@ghohomes.com
from the Owner listed above)
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.
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SUPPLEMENTAL CONSTRUCTION LIEN�LAW N'FORMATION :
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
N am e: Nuelle Engineering
Name:
Address:11634 SW Rowena St
Address:
City: Port StLude State: FI
City:
State:
Zip:39987 Phone5r,1-429.8975
Zip: Phone:
FEE SIMPLE'TITLE HOLDER: — Not Applicable
BONDING COMPANY:
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 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 NCEMENT MUST BE RECORDED AND
POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT ND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI �OF COMMENCEMENT."
Signature of Ow / ntractor as Agent for Owner
Sign ontrac License Holder
STATE OF FLORID
STATE OF RI
COUNTY OFSt.Lucie
COUNTY Lucie
The for oing instrument was acknowledged before me
this day of Vl 20_ by
The forgoing instru ent was acknowledged before me
this] Li `day of 1 ULq 20M by
�li1C�rn h�Ier
w l t h'CAM NGnd.l e r
Name of person making statement.
Name of person making statement.
Personally Known _�OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Publ - State of Florida)
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L
g ur of Notary Public ate of Florida )
Commission No: __&
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