HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building
Address:
W
Property Tax ID #: 131--z- -7a l ' 0 0 2 9- - iJOd - Lot No. ST
Site Plan Name: Block No.
Project Name:
Construct Single. Family Residence
Bedrooms: 3 Bathrooms: .3 Garage: y V
New Electrical Meter X Second Electrical Meter
Additional work to be performed under this permit- check all that apply:
Iblechanical _ Gas Tank —Gas Piping _Shutters _ Windows/Doors _ Pond
Y Electric Plumbing Y S rinklers _ Generator V/Roof Pitch
Total Sq. Ft of Construction: 3439 Sq. Ft. of First Floor: 34 3 49
Cost of Construction: $ 100,000.00 Utilities: —Sewer _Septic Building Height:
fIO�NLiR wi.�EJE L h Jo .5'i 1 L %°z St T E 31 d
^t P d �` ACT,Of�.
Name GRBK GHO Meadowood.LLC
Name: William Handler
Address:590 NW Mercantile Place
Company:GRBK GHO Homes LLC
City: Port St Lucie State: _
Address:590 NW Mercantile Place
-Zip Code: 34986 Fax:561-688=0909
City: Port St Lucie State: FL
Phone No.772-773-0075
Zip Code: 34986 Fax: 561-688-0909
E-Mail: Permitting@ghohomes.com
Phone No 772-773-0075
Fill in fee simple Title Holder on next page ( if different
E-Mail Permitting@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.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
(G`53
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable.
Name: Nuelle Engineering Name:
Address:11634 SW Rowena St Address:
City: Pon&Luole 'State: FL City: State:
Zip: 34967 Phone 561.629.6975 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not 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 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 and posted on the jobsite before the first inspection. you intend to obtain financing, consult
with lender or anlattorney before commencing work or recording y ur Notice of Commencement.
Signature of Owner ee/Contractor as Agent for Owner
Signature of Conrcense Holder
STATE OF FLORIDA
STATE OFF ,
COUNTY OF SlLude
COUNTY OF StLuda
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before,me of
x Physical Prese a or Online Notarization
x Ph sical Presence or Online Notarization
this�'dy of 4,0T 2020 by
this ®ay 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
Type of Identification
P u -
ed
(Sig ure of ic- sta%%8MFj&iEhnpa
of FIc WwtCa Dima
°'= Commission # GGOS0876
Commission N$ _ g: Janud( 01)2021
`' Commission # GG050876
Commission No. _ = Expires:l�l1�ry 9, 2021
a' Bonded thru Aaron Notary
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°%o��' Bonded thru Aaron Notary
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