HomeMy WebLinkAboutBuilding Permit Application.x�
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: FJ ✓�v
SM.
ROD��Wu� h
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982.
Phone: (772) 4624553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building
X
Address: 2)u I� eny Ly (* • c�
Property Tax ID #: 1 3211 - 905 QQ)1 %-4 - 000 " -1 Lot No. 1 R
Site Plan Name: mfo&c A C=c1 Block No.
Project Name: VYM l
,DETAI.LED :DES'CRI.PTION,,.O;F'WO.R,Kc
Construct Single Family Residence
Bedrooms: Bathrooms: '� Garage: 2
New Electrical Meter X
Second Electrical Meter
6 ONS7R,U;CTIQN (NF.OR'MATI:O;N::. -
Additional 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: 2-1-1 -) � Sq. Ft. of First Floor: 1 2 3 2
Cost of Construction: $ 100,000,00
Utilities: _Sewer _Septic Building Height:
O,WN,ER%I:ESSEE:..
CONTRACTOR;.
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
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
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.
SUPPLEMENTAL CONSTRUCTION'LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name' Nualle Engineering
Name:
Address: 11634 SW Rowena st
Address:
City' Part stLucie State: FL
City: State:
Zip: 34967 Phone 561.62D.6975
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 andjposted on the jobsite before the first inspection.you intend to obtain financing, consult
with lender or an{iattornev before commencing work or recording v ur Notice of Commencement.
Signature of Owner ee/Contractor as Agent for Owner
Signature of Conrcense Holder
STATE OF FLORIDA
STATE OF FL
COUNTY OF SlLucie
COUNTY OF St Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
this ?.0"d`ay of M0S�A 2020 by
x Physical Presence or Online Notarization
this'L(2fay of SOT 2020 by
William Handler
William Handler
Name of person making statement.
Name of person making statement.
Personally Known x OR Produc�eYl ' ' ication
Type of Identification `'S
Produced
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- S /te ofFlorida p� ,, r
Commission No. (Seal) -` C°�?
QZ "1�V G
(Signature of Notary Public- St a of Floridi .
�d'?nmission No.66qz1-1qI0
REVIEWS
FRONT
ZONING
SUPERVISOR'-`
-PLANS
VEGETATION
SEA TURTLE
MANGROV
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.