HomeMy WebLinkAboutBuilding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
-I Ll Building Permit Application JUL 2 5 2017
Planning and Development Services PERMITTING
Lucie County,
Building and Code Regulation Division St. FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: Z 80 1 8-e 6 vt pr
Legal Description:&&A J Q J U }-� �l1A I li� �/T l wa -
Property Tax ID#: Z3 37 —662 Qd 08— 000 6p Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front gzJ .s Back: &q.6_Right Side: 2—V/ Left Side: 2—0
[KA�ILE�DESCRIPTION OF WORK`. ,� ' i` ft
�,
Construct Single Family Residence o2 19a a y
CONSTRUCTION INFORMATION:
Ac1clitional work to be ppKormed under this 9,ermit—check all ply:
�HVAC I V I Gas Tank ZG Piping _Shutters Windows/Doors
Electric RI Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: _.W4 3'!� S . Ft.of First Floor: 3� 35
Cost of Construction:$ 100,000.00 Utilities:k5ewer Septic Building Height:
\ CONTRACTORyy f
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: Nuene Engineering Name:
Address: 11634sW Rowena s1 Address:
City: Port SlLucie 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 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 with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of s /Contractor as Agent for Owner Signature of C ra older
STATE OF FLORIDA STATE OF FLOR
COUNTY OF -— COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this -11"Tay of 20 iby this /(6'day of 20 by
William Handler 1 William Handler
777 owledging) me erso nowledging)
( ' re of y Public-State of Florida ) (Si ature f No ublic-State of Florida )
Perso illy Known X OR Produced Identification - ersonally nown x OR Produced Identification, DO
Type of Identification Produced — Type of Identification Produced KULI G �6
ebe 16 3 r,. Comma Z021
Commission No. (Seal) R � GG ��mmission No. �feS. January
Notary
,. �mm ov g, Bonded��
Revised 07/15/2014 S.�`• gpt\ded
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 7
COMPLETE jf
INITIALS
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