HomeMy WebLinkAboutBuilding Permit ApplicationAII'APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTE
Date: 14 • . _�- J Permit N
o
Building Permit
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue,. Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
I PERMIT APPLICATION FOR: Building
Address:
S EP' 23 2021
Witting Department
St., Lucie County, FL
Property Tax ID #: `��� " �lJV1 ' �2-� CCU — s Lot No.�y_
Site Plan Name: k c& Block No.
Project Name: r Y \w
�(DEF YI�LEDtiDESOftTPT�QN$�' F �lN�ORK•; A
Construct Single Family Residence
Bedrooms; 2 Bathrooms: Z Garage: Z
New Electrical Meter X Second Electrical Meter
,..,.-.a a -,'a ,...�°' y ,� ., t t r" rw �" A� �C z° y, j. ... z'✓c r Y•
I ONS ,,g k � �IOItl�I�f�FOi�MA�TI`< �`•�Y
Additional work to be performed under this permit— check all
�thh apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters ZWindows/Doors _ Pond
/Electric Plumbing b Sprinklers Generator V �Roof" Pitch
Total Sq. Ft of Construction: 2 J IES Sq. �Ft. of First Floor: Lam, 15 S
Cost of Construction: $ 100,000.00 Utilities: —Sewer _ Septic Building Height:
'�1!!%NR%I.SSEE.`C
F
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.772-7,73-0075
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
u v®iue or construction is ssuu or more, a KtCuKuto Notice or 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: NuallaEngrnooring
Name:
Address: 11FJ4SwRawemSt
Address:
City: Port St Lucie State: FL
City: State:
Zip: S:ner Phone sr-6zo•6gm
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 andiposted on the jobsite before the first inspection. �f you intend to obtain financing, consult
with lender or anlattornev before commencine work or recordine v ur Notice of Commencement.
Signature of Owner%Tes ee/Contractor as Agent for Owner
Signature of Cont7cfarAwcense Holder
STATE OF FLORIDA
STATE OF FLMIDA
COUNTY OF .SlLuclo
COUNTY OF SILucm
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Ph sical Presence or Online Notarization
this V ay of 2020 by
x Physical Presence or Online Notarization
this 3_ (iay of 2020 by
WdlAm Handler
Wilam Handler U 1
Name of person making statemeq*,A (/'
Personally Known x OR 9 Idei3tifica*/
Name of person making statement.
Personally Known x OR Prod
�,`
n�fi�tion
�''�it
Type of Identification y •..
Produced ��+imu�``��• CO �s'
pf/�j� �C
Type of Identification �``N
�auuta�``
Produced
Produced �
nc
(Signature of Notary Public- States of Florida) /f/
Signature of Notary Public-SlateFlorida)
Commission No. G�"1 LN V (Seal) //`
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sbmmission No. C V (Seal) �r���?�'�
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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