HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: I o? - OV&
Building Permit Application
Commercial Residential x
PERMITTYPE: Building
PROPOSED IMPROVEMENT LOCATION:
Address: lQo CYoyt C+-
Property Tax ID #:1, Z1 - 2�0S " OU 11 - COL) - C6 Lot No. 1 15
Site Plan Name:
Block No.
Project Name: V/l\,,O - t S -
.DETAIL-ED DESCRIPTIOMOFWQR_K:
Construct Single Family Residence
Bedrooms: 3 Bathrooms: Z Garage: 2
CONSTRUCTION°.INFORMATION:
Additional work to be performed under this permit- check all that apply:
,Mechanical _ Gas Tank _ Gas Piping _ Shutters P"' Windows/Doors
]Electric -Olumbing ✓Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 100,000 Utilities: V' Sewer _Septic Building Height:
OWNERAESSEE:
•CONTR'ACTOR:
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: FI
Phone No. 772-873-1711
Zip Code: 34986 Fax: 561-688-0909
E-Mail: Permitting@ghohomes.com
Phone N0772-873-1711
Fill in fee simple Title Holder on next page ( if different
E-Mail Permitting@ghohomes.com
from the Owner listed above)
State or County LicenseCBC051145
it value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
I'SUPPLEMENTALCONSTRUCTION LIEN LAW INFORMATION: 'I
DESIG
Ica
Name: huallo Engineering
Address:11634 SW Rowena St
City: Part SI. Luce State: FI
Zip: 34987 Phone581.429.8975
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFI DVIT: 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 OWN R: YOUR FAILURE TO RECORD A NOTICE OF COMMENC MENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP OYEMENTS TO YOUR PROPERTY. A NOTICE OF COM ENCEMENT MUST BE RECORDED AND
POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT ND TO OBTAIN FINANCING, CONSULT
WRH YOUR LE ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTI OF COMMENCEMENT."
Signature of Ow / ntractor as Agent for Owner
Sign ontrac License Holder
/7
STATE OF FLORID
STATE OFF RI
COUNTY OFSI•LUUe
COUNTY Lude
The forgoing instrument was acknowledged before me
The forgoing instrume t was acknowledged before me
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7119