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HomeMy WebLinkAboutBuilding Permit Application1 All APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��11 Date: o� �Ur Permit Number: ) 05- o"2=- 9iPv EMCEE CQrfts c ,Q: U.:-,© Q 111 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 PERMIT APPLICATION FOR: Building PROPOSED :I M P.RQVVEM ENT;LOGATI;ON`. Address: aft CaaifEQ DQ FvKT PieRCE, Ft- 3051 X Property Tax ID#: 1334.506.00M.000.9 Lot No. 66 Site Plan Name: Block No. Project Name: DETALLED`DESCRIPTLON OF WORf<: Construct Single Family Residence Bedrooms: 3 Bathrooms: a Garage: New Electrical Meter X Second Electrical Meter CQNSTRUCTGQN:INFORIVIATION; ' Addi;ional work to be performed under this permit— check all apply: Mechanical _ Gas Tank _ Gas Piping 7Shutters /Electric IPlumbing Sprinklers _ Generator Windows/Doors _ Pond t/Roof Pitch Total Sq. Ft of Construction: 2nLX5 Sq. Ft. of First Floor: _ Cost of Construction: $ 100,000.00 Utilities: —Sewer _Septic Building Height: OWNER/.LESSEE: "CONTRACTOR-:, - Name GRBK GHO Meadowood LLC Name: William Handler Address:590 NW Mercantile Place Company: GRBK GHO Homes LLC 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 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 IT value of construction is ZWU 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. SUPPLEMENTAL CONSTRUCTIONUEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable Name: NuolleEngineering Name: Address:11634 SW Rowena St Address: City: Port StLucle State: FL City: State: Zip: 34987 Phone 561.629.6975 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: x Not Applicable 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 andjposted on the jobsite before the first inspection.�you intend to obtain financing, consult with lender or an{attorney before commencing work or recording ur Notice of Commencement. J1 Signature of Owner essee/Contractor as Agent for Owner tense Holder Signature of CoZIDA STATE OF FLORIDA STATE OF FL COUNTY OF SlLucia COUNTY OF slLucie Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of x Physical Pres rice or Online Notarization x Physical Presence or Online Notarization this day of IkAmJ 202J by this " day of M Q%J 2024 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 Type of Identification Type of Identification Produced Produced (Signature of Notary Pub r State of Florida ►� Signature of Notary Public- Sta 1 �p Commission N Yj�} Notary ublic Vi trnrla.L Groothouse Myr(�gission GG 243946 Vo• Notary Public State of FI ommission No. 1 ��9� ;��,y��oria L Groothous +� Expires 07/31/2022 M1 C My Commission GG 2,, � OF 01 o Expires 07/31/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/b/ZU