HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE I FO.21 UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 19 Permit Number:
203.07g0
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FPJJ�W-7o...p p Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential x
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATLON `"
Address: R46a Io NI ry Ulig
Property Tax ID #: I133iI -506 �d�18 -00� - Lot No. 61
Site Plan Name: M W -61 Block No.
Project Name:
.y y
DETAILED,lb. SCR`IPTION!('6F",N','
Construct Single Family Residence �1
Bedrooms: *;L Bathrooms: p` Garage: 011
New Electrical Meter X
Second Electrical Meter
rCONS,TRUCTION:INFEORMATIO,N;-"`{r
Addi;ional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters Windows/Doors _ Pond
Electric Plumbing Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft, of First Floor:
Cost of Construction: $ 100,000.00 Utilities: _ Sewer _ Septic Building Height:
`;OWNER/.LES;SEE:
CONTRACTOR r
Name GRBK GHO Meadowood LLC
Name: William Handler
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: 561-688-0909
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
State or County License CBC051145
from the Owner listed above)
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.
so
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SUPPLEMENTAL CONSTRUCTION LIEN LA 110011 MATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: X Not Applicable
Name: NuelleEnginearing
Name:
Address: 11634 SW Rowena St
Address:
City: Port St Lucia State: FL
Zip:34997 Phone 561.629.6975
City: 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: 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.you intend to obtain financing, consult
with lender or n2ttornev before commencine work or recordine vvv ur Notice of Commencement.
Signature of Owner essee/Contractor as Agent for Owner
Signature of Contr tense Holder
STATE OF FLORIDA
STATE OF I IDA
COUNTY OF StLude
COUNTY OF SiLude
Sworn to (or affirmed) and subsc fore me of
Sworn to (or affirmed) and subscribed before me of
X PhyYsical Presence or ine Notarization
X Physical Presence or Online Notarization
this/4"Nay of M 41!& A . 202/ by
this�!JNay of o % aP-CJ,, 20V 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 Ide a e f
cation
TyPdu
ation
Troduc
d eON �o�55'i°
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Sig re of Notar i t'a� or
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Commission No. e1`!')
Commission No. (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/b/LU