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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED cc�
Date: �a�'1 Permit Number: 1 a-ea3�
• RECEIVED
Building Permit Appli atio
Planning and Development Services C 1 `
Building and Code Regulation Division
ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Building -- S
PROPOSEDlIVIMOVEMENT LOCATION:
Address:
Property Tax ID #: -5Uu Lot No.�Q
Site Plan Name: A,,-,y,, Block No.
Project Name: FAeC oc)A 3
DETAILED DESCRIPTION OF,WORK: i
Construct Single Family Residence
Bedrooms: -'� Bathrooms: 'y Garage: '
CONSTRUCTION.INFORMATION:
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
Electric ,01umbing ✓Sprinklers _ Generator Roof Pitch
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Total Sq. Ft of Construction: Sq. Ft. of First Floor: °
Cost of Construction: $ *04 0 1A • Utilities: i/ Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:,
NameGRBK!,GHO Meadowood LLC
Name:William Handler
Company:GRBK GHO Homes LLC
Address: 590; NW Mercantile Place
City: Port St. Lucie State:
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
State or County License 08CO51145
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION'LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
Not Applicable
N ame: Nuelle Engineering
Name:
Address:
Address:11634 SW Rowena S1
City: Port St Lucie State: Fl
City:
State:
Zip:34987 Phone561-429-8975
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 ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an9covenants that -may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
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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 COMM
TWICE FOR IMP OVEMENTS. TO YOUR PROPERTY.'A NOTICE OF C
POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
WITH YOUR LEN ER OR AN ATTORNEY BEFORE RECORDING YOUR Nt
Signature
STATE OF FLORIC
COUNTY OFSLLuc1a
as Agent for'Owner
The forming inst ument was acknowled before me
a
thisl day of 20� f by
teM�ICIrYI i-ECthC� let'
Name of person making statement.
Personally Known �R Produced Identification
Type of Identification
Produced
STATE OF
COUNTYI
YT MAY RESULT IN YOUR PAYING
EMENT MUST BE RECORDED AND
TO OBTAIN FINANCING, CONSULT
I+A�Iflr�.f.!'�Il'�IT 77
Holder
The forgoing instrument was acknowledgebefore me
thisl fdav of We by
�l��liGhrn NGnd.le�
_Name of person making statement.
Personally Known OR Produced Identification _
Type of Identification
Produced
I I A
(Signature of Notary Publi State of Florida) (Signature of Notary Public "Ste of Florida)
Aleese C. 2qq �) A► m C.
Commission N lssion No.
Comm.#G 0 =« ;� Conlm.CC 9
0
2023
REVIEWS FRONT ZONI SUFER I Lj► VEGETATION 5EA Tli1l�9'l 'iN/NIRi
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED i2ii1� 1G
COMPLETED'