HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 1b ] ' 1��
c'i�o 1.51�l�Il�
"Pro-MIal,MQ ° 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: Buildina
Address:
X
Property Tax ID #: - os - co 2 " o0o -S Lot No. I U
Site Plan Name:
Project Name:UJ
DETAILEID DESCRIPTION OF WORK:
F
Construct Single Family Residence
Bedrooms: 3 Bathrooms: 2 Garage: Z
New Electrical Meter X I Second Electrical Meter
Block No.
u t ` py''w**tc ta'° "e zl '� i# 7 v '�,.z"o ,
�C-N-ST4 RUCTION°IINiORMghC�N
Additional work to be performed
/Mechanical _ Gas Tan
d Electric Plumbing
under this permit— check all that apply:
k /Gas Piping _Shutters
V Sprinklers _ Generator
Total Sq. Ft of Construction: )—I `-t Q
Cost of Construction: $ 100,000.00
y Wi
ndows/Doors
N Roof
Sq. Ft. of First Floor: 1-1 q LP
_ Pond.
Utilities: —Sewer _Septic Building Height:
Pitch
OWNER%l':ESSEE" T x
C N,TRACTOR "'
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: FL
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
State or County License CBC051145
from the Owner listed above)
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: Nuelle Engineering
Name:
Address- 11634SW Rowena St
Address:
City: Port St Lucie 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. f you intend to obtain financing, consult
with lender or anjattornev before commencing work or recording vbbbbur Notice of Commencement.
'151v�
Signature of Owner ee/Contractor as Agent for Owner
Signature of Conttrr ef& Hc'ense Holder
STATE OF FLORIDA
STATE OF FLIDA
COUNTY OF St Lucie
COUNTY OF StLuclo
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
thisULday of J\AVU . 2024 by
x Physical Presence or Online Notarization
this IAL day of JUV%k, 2021 by
William Handler
WiOiam Handler
Name of person making staterp; .-..lid,
Name of person making statement''
Personally Known x - ce dentif cation
Personally Known x OR Pr Fbl@ tificaiion
'%,;�'`.'
Type of Identification C'Y/`p�
'4nuntl�`
Type of Identification
Produced O d'
Produced
(Signature of Not t�"" Public- State of Florida �� 'A90
(Signature of Notary P lic- State of Florida)
Commission No. �l lLj (Seal) ��iAiY?o
Commission No. Z (7 (Seal) 1 �
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 3/6/70