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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q Date: Permit Number: of O ' o°Z� 177M' "£---:D-`�a'-=� 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 X PERMIT APPLICATION FOR: Building 3i .fin � f-a�.y -. ra 1vt1 S f *f� � �i��artll e h�k-y j� �1�,,. l s^�`s' S .. �y "} PROPOSED I$MP�RDUEM'ENTLOCAT �� �, _' ,,' I_ N.a.:r. x .,�,.. Address: Property Tax ID #: _ � 0ZJ &1) (mow — DOD -�� Lot No. Y_ Site Plan Name: //, ,,,, Block No, Project, Name: 1%1d 4A �l V{/ kltale_r t�-hl� 09 {„.. ,DETAID D`ES'CRIPTION .F, ,,11E Construct Single Family Residence Bedrooms; 13 Bathrooms: a Garage: 02 New Electrical Meter X Second Electrical Meter Addit' nal work to be performed under this permit— check all that apply: '/Mechanical ` Gas Tank Gas Piping _✓Shutters — WZoof ws/Doors _ Pond -' Electric � Plumbing `Sprinklers _ Generator Pitch Total Sq. Ft of Construction: �SUZ Sq. Ft, of First Floor: 2-S li 22— Cost of Construction: $ 100,000.00 Utilities: _ Sewer' ✓Septic Building Height: .h 1 r �f^ � VJ k! C(N{ 4 � 1 1 } YZ � OUVN ER/ 1ESSE',E M° `"° . j, { �{;k 7, ` t; . �, ..:. ` y r, r r'tr .- :L ♦tl ,. r.t .b. t'Lw . CONTRACT t,. vw-F.J nSa1 Name GRBK GH,O St Lucie LLC Name: William Handier Company: GRBK GHO Homes LLC Address: 590 NW Mercantile Place Address:590 NW Mercantile Place City: Port St Lucie State: _ City: Port St Lucie State: FL Zip Code: 34986 Fax:561-688-0909 Phone No. 772-773-0075 Zip Code: 34986 Fax: 561-688-0909 E-Mail: Permitting@ghohomes.com Phone No 772-773-0075 E-Mail permitting@ghohomes.com Fill in fee simple Title Holder on next page ( if different 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. SUPPLEMEN,TAL'CONSTRUCTION LIEN; LAININFOR'MAT1'ON. DESIGNER/ENGINEER: _ Not Applicable Name:_ Nuelle Engineering Address:11634 SW Rowena St City: Port St Lucie State: FL Zip:34987 Phone 561.629.6975 FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: x Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: x Not Applicable Name: Address: City: 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 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.youu intend to obtain financing, consult with lender or anllattornev before commencing work or recording l'ur Notice of Commencement. Signature of Owner ee/Contractor as Agent for Owner Signature of Contr dense Holder STATE OF FLORIDA STATE OF FL IDA COUNTY OF Stlucie COUNTY OF St Lucie Sworn to (or affirmed) and su,b��,sI ed before me -of Sworn to (or affirmed) and subscribed before me of x Ph ical Prese or,*07Online Notarization thiso&'Kay of 2020 by x Physical Present r Online Notarization this��d'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 cation Ty entification Type of Ident' cation oduced uc , Rebecca Dimas sill Y ,, .11v (Si ure of t fao 3a g2021 qua (Si ure o t y P a ���orhMiSSion # GG060876 �z Ex fires: Commission No. %95a;. ao°� Aaron NOON Commission No. January 9, 2021 . g�thru Aaron No9al�+ REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW -REVIEW DATE RECEIVED DATE COMPLETED ev.