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Building Permit Application
ALL APPLICABLE INFO uS E COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 11 Permit Number: s�,�,�r�^*'n.c,r:rrr,..s���:;-car.:,.-.�• ��i��- v4z�'w`"�� `e 4�R`. .: , .�. . 5 . Building Permit Application APR I ::.3. Planning and Development Services Pudic W'c, St. Lucie CoL_,Eay, FL Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building — S ➢. PftOFQSED ; Address O re J Legal Description: cSr I' �n��a' i�/l /l�(`-eQ�(ow o of l� rli-�' .�, LD Property Tax ID#: 133 — Sa 6`0QD/— 000 — 9 Lot No. Site Plan Name: % - / Block No. Project Name: Setbacks Front 2J6-•20 Back: qq 5,2 Right Side: 4.5700 Left Side: /s•00 =D-..ETA(l:E i,�DESCR+IP�ION O;F 3VUOR1< f � j��z f�� � <� ��Y3 �.E � {s 3���_E` ,, � �� •, ..,,.:�1�... .K..,�.v.i'..,.��;��..h`.ti.:'!-.?,�i t - � �. ... :.�.,u'... }^am 3,11 ..s.__.,.. .al.rti '', x,,r. ..S x,_;.�,,,..x�'._ ��r hi:✓,.,._.rr� Construct Single Family Residence �cp ��Q �C(Lr ya__�_e c�i L Additional work-to be nertormed under this permit—check a apply: „..r.. ZHVAC Gas Tank Gas Piping 1:1_Shutters Ft/]Windows/Doors Electric © Plumbing ❑%p ers ❑Generator Ft/� Roof Roof pitch Total Sq. Ft of Construction: 2-4-7- 6 S��.�FFtt,�of First Floor: 2 Z V (/ Cost of Construction:$ 100,000.00 Utilities. l�ISewer IlSelotic Building Height: S s L }r- �O}WrN�ER�LES�EE _ A f __,.,7.�`.,�. Name GHO Meadowood Corp. Name: William Handler ` Address: 590 NW Mercantile Place Company: GHO Homes Corp City: Port St Lucie State: FL Address: 590 NW Mercantile Place Zip Code: 34986 Fax:561-688-0909 City: Port St Lucie State:FL Phone No.772-873-1711 Zip Code: 34986 Fax: 561-688-0909 E-Mail: rebeccad@ghohomes.com Phone No. 772-873-1711 Fill in fee simple Title Holder on next page( if different E-Mail: rebeccad@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. J � x f'L ..:;'>,_.2.L.v__ c c»...-.:._._�_�...i, ,_ <.....Y. ,..._ .. >,..��s_.r.p,:..�✓_...�,.._ �-V y .....n, >.�..tr. � .,.t,..-..:-!...-,k.-.:_. c .,.._-tut DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Nuelle Engineering Name: Address: 1163a sw Rewena sl Address: City: Pori StLuaie State: FL City; State: Zip: 34967 Phone: 561.629.6975 Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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 ma result in your paying twice for improvements to your property. A Notice of Commencement must be reco ded and posted on the jobsite before the fh st inspection. If you intend to obtain financing, consult with I der or an attorney before commencing wok or recording our Notice of Commencement. s Signature of Owner/ see/Contractor as Agent for Owner Signature of Cont o e Holder STATE OF FL I STATE OF FLORIDA COUNTY OF 5i1 COUNTY OF 5\ The forgiing instrument was acknowledged before me The forgoing instrument was acknowledged before me this.2- /aay of._/77 ii rCA— , 20 [:�%-by this 29Rd'ay of 20 3-by William Handler -L William Handler of perso cknowledging) (Nam)person acknowledging) igna r tary Public-State of Florida ) ( atu e o Notary Public-State of Florida) Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. (Sea Commission No. �, sp Seal) �� ���= 6mession GG060$7 ,���•�!/y� Rebecca Dima �� '/- Commission; GG06 r6 =' •'°= Expires: January 9, = Expires: January 1 Revised 07/15/2014 p,�pn Nosy �''" `� Bonded thru Aaron N ` Bonded thru % i� ail REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW RE EW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE I N ITIALS