HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j
Date: Permit Number:
RECEIVED
6 Mt� Building Permit Application JUN a ?021
Planning and Development Services Pefmittin e
Building and Code Regulation Division Commercial Residentialst.Lupartment
2300 Virginia Avenue, Fort Pierce FL 34982-
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building
PROPOSED IM.PROVEMENT'LOCATION'
Address: o LQ —1 Zcc-)u t CA, -
Property Tax ID #: 132-71 -'SOS - 00\5 - CCU, Le Lot No. 1_
Site Plan Name: Ci Block No.
Project Name:"
D"ET'AILEDIDES_CRIPT110 OF'WORK:
Construct Single Family Residence
Bedrooms: "� Bathrooms: 2 Garage: 2
New Electrical Meter X Second Electrical Meter
Addi;ional work to be performed under this permit— check all th�x apply: /
_/Mechanical _Gas Tank _/Gas Piping _Shutters _✓Windows/Doors _ Pond
N_ Electric Plumbing V Sprinklers _ Generator _Roof Pitch
Total Sq. Ft of Construction: Z'lLIS Sq. Ft. of First Floor: � 8
Cost of Construction: $ 100,000.00 Utilities: —Sewer _Septic Building Height:
,QWN:ER/LESSEE:
'CONTRACTOR:: -
Name GRBK GHO Meadowood LLC
Name: William Handler
Company:GRBK GHO Homes LLC
Address:590 NW Mercantile Place
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
E-Mail Permitting@ghohomes.com
Fill in fee simple Title Holder on next page (if different
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'L.IEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name: NualleEngineering
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
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 must 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 a2ttornev before commencing work or recording vbbour Notice of Commencement.
Signature of Owner essee/Contractor as Agent for Owner
cense Holder
Signature of C�rIDA
STATE OF FLORIDA
STATE OF FL
COUNTY OF St Lucie
COUNTY OF SlLucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this day of np " 2020 by
this—ILWday of 2020 by
William Handler
William Handler
Name of person making stateme
Name of person making statement. i , �" •2
Personally Known x OR PrA k7 ntifica#pn
Personally Known x OR ProdWea Cation
Type identification '4i
Type of Identification �
of 01A
YP ni li,.a
Produced Oi, ���'p
Produced
%o 09c�o
' O �°°C 't,
. ,. �,
o •
% 33=co
UA
(Signature of Notary Public State of Florida ) �0.
�%
(Signature of NotaryPublic- State of Florida2
Commission No. Zqq I(Seal) '
Commission No. GGQ4g10 (Se � �i r_
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MSGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Kev. 5/6/20