HomeMy WebLinkAboutBuilding permit app ALL APPLICABLE INFO MUST B�EE COMPLETED FOR APPLICATION TO BE ACCEPTED �y
Date: / / Permit Number:
- RECOVER
Building Permit Application JAN 1*7 2017
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
PERMIT APPLICATION FOR: Building
PROPOSED IIVI.PROVEME.NT'LOCATI'ON
Address: 33/ 13e' /n,
Legal Description: /ICI on+-e- _GY/o Ok 44✓� 0A *_1
Gr
PropertyTax ID#: �3� �b� �dCJU �fw� la Lot No. 2 f32—
Site Plan Name: / Block No.
Project Name: �i->} 8D
Setbacks FrontZS"/ Back: Right Side: 2-do1 Left Side: 3.3 0a/
DETAILED DESCRIPTION OF WORK ='
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Construct Single Family Residence
CONSTRUCT INFORMATION ION
Additional work to e e orme un• er t is permit—check a apply:
ZHVAC 13 Gas Tank ❑Gas Piping Shutters 1 Windows/Doors
R]Electric 0 Plumbing Sprinklers Generator RI Roof 4 Roof pitch.
Total Sq. Ft of Construction: `7 ?,31 V S Ft, of First Floor: 7 2-3Cost of Construction:$ 100,000.00 Utilities: I 1 Sewer Septic Building Height:
OWNER/LESSEE f, ri , CONTRACTOR
c0Y• .t
Name GHO Meadowood Corp. Name: William Handler
Address: 590 NW Mercantile Place Company: GHO Homes Corp
City:Port St Lucie State: FL Address: 590 NW Mercantile Place
Zip Code: 34986 Fax-561-688-0909 City: Port St Lucie State:FL
Phone No.772-873-1711 Zip Code: 34986 Fax: 561-688-0909
E-Mail: rebeccad@ghohomes.com Phone No. 772-873-1711
Fill in fee simple Title Holder on next page(if different .E-Mail: rebeccad@ghohomes.com
from the Owner listed above) State or County License: CBC051145
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SU}PPLEIVIENTAL�CONSTRUCTION LIEN Lio INFQRMATION,
DESIGNER/ENGINEER:` x_SNot Applicable MORTGAGE COMPANY: x Not Applicable
Name: Nuelle Engineering ; Name:
Address: 11634 SW Rowena St Address:
City: Port StLucle State: FL City: State:
Zip: 34967 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:
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 inspe tion. If you intend to obtain financing, consult wi -i lender or an attorney before
commencingwork or recording your'Notice of Commencement.
s
Signature of Owner/Le e/ o TE c r as Agent for Owner Signature on Icense Holder
STATE OF FLOR STA OF F
COUNTY OF .L.da COUNTY 0 s Lda
The forgoing instrument was acknowledged before me The forgoing instr ent was acknowledged
before me
this_24fday of 20 Jay this 2,oNay o� 20 L�—by
William Handler 1 William Handler
7ampe—rson—a—cl)owledging) / (Na a of person nowledging)
(Siatur of N- Public-State of gnat r of No Pub' e of Florida
Florida)) ry ra Reber a
ersonally Known x Produced Identification Personally Known x 5 P �uQ 11 ID71"
Type of Identification P Type of Identification �06(?�
wz Dim ''���P;�,� Bonded v"lluary 9, 2021
Commission No. m �, IIIVI8T6 Commission No. C aron Notary
' an'Y 9, 2021
80nd®d th
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 1� q
COMPLETEarc
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INITIALS �
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