HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� Permit Number: V
o E _D
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Building Permit Application FEB 13 2017
Planning and Development Services
Building and Code Regulation Division PERIMITTING
i LuceCounty,2300 Virginia Avenue,Fort Pierce FL 34982 St. FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATIQ{N
Address: -06 G/ i P/I!
fiz-
Legal Description; D o/
Property Tax ID#: Z=K2- — Q/ — 00c9C/ — DOD 'J Lot No. Us 7
Site Plan Name: Block No.
V
Project Name: 1----
Setbacks Front 2—•'10 i Back: .j,>i Right Side: &9 ,s�' Left Side:2,6•Y d f
DET"AILED DESCRIPTION OF WORK sfl' `"
Construct Single Family Residence
LN.§TRUCTI.O'N INFORNIATIO,N rr 2
r,., _ u Additionalwork to be nertormed un er t Is permit—check a apply:
RJHVAC Gas Tank Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers 1i Generator Roof Roof pitch
Total Sq. Ft of Construction: Zy, ✓ S . Ft.of First Floor: ley
Cost of Construction:$ 100,000.00 Utilities: R1 Sewer ESeptic Building Height:
'OWNER/,LESSEE TRAC
ON
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
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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:SUP`PLEMENTA°L CONSTRUCTION LI_E�N LkA1N INFORMATION
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: NuelleEngineering Name:
Address: 11634 SW Rowena St Address:
City: PortSlLueia State: Fl. City: State:
Zip: 34987 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 y ur property. A Notice of Commencement must be record d and posted on the jobsite
before the first ins e tion. If you intend to obtain financing, consult with lend r or an attorney before
commencingwork r ecording your Notice of Commencement.
e___4
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Signature of Own ssee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLO STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instrument wa acknowledged before me The forgoing instrument was acknowledged before me
this 1�day of j5ejo 20/':;'by this q��-day of CeZq 20 _�by
William Handler 1 William Handler
(N erson acknowledging) (Name of erson acknowledging)
(S' of Nota Public-State of Florida ) ( re of otary Public-State of Florida)
rsonally Known x OR Produced Identification erso2ily Known x OR Produced Identification
Type of Identification Produc "RVII, RebwM= - Type of Identification Produced UV11li Rebe= Dima
Commission No. E 9, 2 21 Commission No. S r mission GG06087
( `� �� Tres: January 9, 202
Bonded thus Aaron N
Bonded thru Aaron Nota
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
I N ITIALS