HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -� 1
Date: a' cX' a` Permit Number:
a ° Building pp Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Resid
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT;LOCATIO.N
Address: (DOW Jrl t 1Q. 6 V'V- CT' 1FT. Pi CYCQ. , FG 34°► 51
Property Tax ID #: 131-1 - RD I • 005D ' 00 U ' 0
Site Plan Name:
Project Name:
DETAILED -DESCRIPTION O'F WORK:
Construct Single Family Residence
Bedrooms: Bathrooms: 3 Garage: 2
New Electrical Meter X Second Electrical Meter
CONSTRUCTFON INFORMATION:;'`
RECEIVED
FEB 12 2020
ST. Lucie County, Permitting
la
Lot No.
Block No.
Additional work to be performed under this permit— check all that apply: /
_Mechanical — Gas Tank _ Gas Piping _Shutters _✓Windows/Doors _ Pond
Electric Plumbing _Sprinklers _ Y Generator Roof Pitch
Total Sq. Ft of Construction: 3 Z (08 Sq. Ft. of First Floor:; 2Z q
Cost of Construction: $ 100,000.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE: :
, CONTRACTOR::- = .
Name GRBK GHO Meadowood LLC
Name: William Handier
Address:590 NW Mercantile Place
Company:GRBK GHO Homes LLC
City: Port St Lucie State: _
Address:590 NW Mercantile Place
Zip Code: 34986 Fax:561-688-0909
City: Port St Lucie State: FL
Phone No.772-773-0075
Zip Code: 34986 Fax: 561-68&0909
E-Mail: permitting@ghohomes.com
Phone No 772-773-0075
Fill in fee simple Title Holder on next page (if different
E-Mail permitting@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.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required:.
_* LA (A
-SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x— Not.Applicable
Name: NuelleEngineerin9
Name:
Address:11634 SW Rowena st
Address:
City' PorlStLucle State:FLCity:
Zip:34987 Phone 561-629-6975
State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable
BONDING COMPANY: x 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 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: roomadditions,
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 mu s be, recorded in the public records of St.
Lucie County and posted mnoosted on the jobsite before the first inspection.you intend to obtain financing, consult
with lar nrlpnr an ittnrnpv hpfnrp rnmprino work or rprrdino ur Notice of Commencement.
Signature of Owner ee/Contractor as Agent for Owner
Signature of Contr cerise Holder
STATE OF FLORIDA
i
STATE OF FL IDA
COUNTY OF St Lucie
COUNTY.OF Stl.. tG
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Ph sical Presenc or Online Notarization
x. Physical Presence or online Notarization
thisdayof 20by
this ,�dayof�� 20?'by
William Handler AN
William Handler
Name.of person making statement.
Name of person making statement.
Personally Known x OR Produced Identifi tio�1``
>rsonally Known x OR Produced.ldentificati �
Type of Identification 5'� o
Type of Identification d
Pry `t�,ye
ro ed
(Sign otary Publi StateFid ,�
(S g Notary P lc- St +Q:i
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missio $.
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. S/b/LU