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
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PERMIT APPLICATION FOR: Building
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PROPOSED I$MP�RDUEM'ENTLOCAT �� �, _' ,,'
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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
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,DETAID D`ES'CRIPTION
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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:
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CONTRACT
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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
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, Rebecca Dimas
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(Si ure of t fao 3a g2021
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(Si ure o t y P a ���orhMiSSion # GG060876
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Ex fires:
Commission No. %95a;. ao°� Aaron NOON
Commission No. January 9, 2021
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Aaron No9al�+
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