HomeMy WebLinkAboutBuildiing permit appALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE eCmE Number: PTED
Date: J ` 97 ( ` / —
RECENED
Building Permit Application
Planning and Development Services JAN 2' 7 2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
Address:
Legal Description: 1"044:��—_ 0,? r- v C o L4-4 +),-w C� i UP) i
Lof -2- b
Property Tax ID #: / S 7_ 9- 00 j — 000 Lot No. ,
Site Plan Name: Block No.
Project Name:
Setbacks Front Zy •?.�0i Back: 3B . y�l , Right Side: Z3 .011 Left Side: 2,3
IConstruct Single Family Residence 3 3
EJHVAC 11 Gas Tank Gas Piping Ll Shutters Windows/Doors
RElectric 0 Plumbing Sprinklers I Generator R] Roof Roof pitch
Total Sq. Ft of Construction:._ � S . FtFt. of First Floor:. �ZJ �
Cost of Construction: $ 100,000.00 Utilities: L� J Sewer Septic Building Height:
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EC®NTRACTOR
H '�i
Name GHO Meadowood Corp.
Name: William Handier
Address: 590 NW Mercantile Place
Company: GHO Homes Corp
City: Port St Lucie State: FL
Address: 590 NW Mercantile Place
City: Port St Lucie State: FL
Zip Code: 34986 Fax:561-688-0909
Phone No.772-873-1711
Zip Code: 34986 Fax: 561-688-0909
E-Mail: rebeccad@ghohomes.com
Phone No. 772-873-1711
E-Mail: rebeccad@ghohomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: CBC051145
it value or construcDon is,LSUu or more, a KhCOKDED Notice of Commencement is required.
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S�UPP�LEMEfV��ASL-�CON�STR_fyUICTION�LIIEN�LA�W�I�V,FhORMATION�;,t�
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
x Not Applicable
Name: NuelleEngineering
Name:
Address: 11634SW RowenaSt
Address:
City:
State:
City: Port St Lucia State: FL
Zip: 34967 Phone: 1561-629-6975
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING COMPANY:
X Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lenr or an attorney before
commencing work or recording your Notice of Commencement. II
re
STATE OF FLOg
COUNTY OF --
as Agent for Owner
The forgoing Instrument was acknowledged before me
this 1L*day of IFO /l- > 20 L—kby
William Handler -I-
(Name o -pZson acknowledging)
(Si ur of N'otaublic- State of Florida )
Personally Known X . OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
80116asa Dima
Commission # GG060876
Bonded thru Aaron Notary
Signature of Contra
STATE OF FLORIDA
COUNTY OF -—
The The forgoing instrument was acknowledged before me
this 'day of �a A . 20 /'4—. by
William Handler
(Name of acknowledging)
( nat re N ary Public -State of F
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. aV"
,Qs► Rebec&dha
Commission # GG060876
Bonded thru Aaron Notary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
�0Aa
COMPLETE
INITIALS