HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE IN MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `�'� ) Permit Nu,
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
tion SEP`23,2021
°ermitting Department
Rid,GAL
PERMIT APPLICATION FOR: Building
.a!,_.,amn. .4.fda..a Yy 4..t..�.,�'���T���A � ..�..-,.,--.. ...'�i'.--•-• �e=< t�
Address: TU50 C_nnn �— ty 'Dr -
Property Tax ID #: 1 - 5(3LQ " MN q - rw - b Lot No.—U 2.
Site Plan Name: '(Y]2(,Qk )
Project Name:
Bedrooms: 2 Bathrooms: Z Garage: Z
Block No.
New Electrical Meter X Second Electrical Meter
e� aa5 N�`7
�ONTRfU �� ilON1NF0:RIVAI�N` M1
c,�.�.m.�..,�..a..._.......,.._....a��:.:xa..�.,a,w,.T �..�...,.,.,.�3ra.✓.�,a....w. �,ism.�...M.:`,a�.i�=,_.�..ay.--eRcsx,x�w:.�,.,u�',...�...,'.i�R.�....a:�',��.....,a.Nti-:>�.w.............�.x;... ;-C;Kx :.
Addis tonal work to be performed under this permit —check al
apply:
apply:
Y_Mechanicai _ Gas Tank _ Gas Piping utters ZW!ndows/Doors Pond
d Electric Plumbing i/ Sprinklers _Generator V/Roof Pitch
Total Sq. Ft of Construction: 2--1 i LA Sq. Ft. of First Floor: 21-7 L-1
Cost of Construction: $ 100,000.00 Utilities: —Sewer _ Septic Building Height:
L111UN6RLSEE m t
k �..,. 2 .: n sc a
m' &
C®N, TRACT®R� 7
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: permltting@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
NY value oT 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: NuolloEnginaanng
Name:
Address: ,ON sw Rowena st
Address:
City: Pon St Lucie State FL
Zip: }:987 Phone sr-620.69?a
City: State:
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 andipa"sted on the jobsite before the first inspection. Vyou intend to obtain financing,, consult
with lender or an attorney before commencing work or recording vbur Notice of Commencement.
Signature of Owner esfee/Contractor as Agent for Owner
Signature of Connr ef&lkleense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF SILucia
COUNTY OF SILuce
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 ay of 2020 by
x Physical Presence or Online Notarization
this ay of O,U S"r 2020 by
W IN= Hanaler
Vhliam Handler
Name of person making statement.�0
Name of person making statement.
Personally Known x OR Produced IdentificaJio• !e►� �+
Type of Identification V
\�
onally Known x OR Produced Identification
ype of Identification
Produced . 41
Produced ����•��'�`'
(Signature of Notary Pu c- State of Flosjga)
(Signature of Notary PublicU State of Florida7. 6tw
Commission No: C-I N 10 ya���i',�oo
I-� ��11t,,,,
Commission No. C 2 V � aIT
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
�� Inn
SEA TURTCe
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
o„