HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l DVJ 93
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building I
Address:
Property Tax ID #: %(Dk QWZ - WD - 3 Lot No. ' Z
Site Plan Name: W 0_Ct6,QyJCC7C- i(3t Z Block No.
Project Name:
s a
��r�taaEsIi��IcaFoKj� z S
Construct Single Family Residence
Bedrooms: LA Bathrooms: Garage: Z
New Electrical Meter X Second Electrical Meter
r I,,"�'^, k ,s,s/'�S�e".- ..,%. j��a '3" �` g'" : $" ,��f�" a''x�s i,�ar'ar r�^.r a "'dv*;. p ✓�" nT 1 � 4��'�Y " v- r> x:`k.. �,j ^�'Ni
Wit i i",�f'�$ t�'j c1Y 1. '.u'•,-.i a:a`'t 'r� t:�;" ,4,a.+:.ifux �,�:,'m;� �t ,. �r r�' Aa ;P a '� Y
._..._._..eu-h...,.'„..,«ms».a...=°aaa.' •.+.c..r§ ».6.�.:k.+i..�.^ ma..:.aia=i.,....—,L�.as�,....�z»::::».ir`'?
Ad7,Mechanical
ional work to be performed under this permit- check all t apply:
_ Gas Tank —Gas Piping Shutters _ �Nindows/Doors _ Pond
Electric Plumbing Sprinklers _ Generator /Roof Pitch
Total Sq. Ft of Construction: 3L� 3-1 Sq. Ft. of First Floor. 3LJ 31
Cost of Construction: $ 100,000.00 Utilities: —Sewer _Septic Building Height:
:�,IVkllk���r��I•J�I+� w. aa �r: 3" ir. o,'. i�. �c < are sr §' J a }�o�.
�11 �_RI�R1`i� !�'� �.. � "`��, � ? �.� *' �a r a � a'zb" ,�q
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: 3498i Fax: 661-688-0909
E-Mail: permitting@ghohomes.com
Phone No 772473=0075
Fill in fee simple Title Holder on next page (if different
E-Mail permitting@ghohomes.com
State or County License CBC051146
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.
I' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: NuolloEngineoring Name:
Address:11634 sW Rowena St Address:
City: Pon SlLuae State: FL City: State:
Zip: Phone 5G1.62g•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 andlposted on the jobsite before the first inspection.lur
you intend to obtain financing, consult
with lender or an attorney before commencing work or recording Notice of Commencement.
l'Ir!�
✓G f s.
Signature of Owner essge/Contractor as Agent for Owner
Signature of Contr�zt'"w tense Holder
STATE OF FLORIDA
STATE OF FLVRIDA
COUNTY OF SILuele
COUNTY OF S1Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x PIV&al Presence or Online Notarization
this AN'day of 2020 by
x P41T!jcal Presence or Online Notarization
tHis day of _— 2020 by
,
Wdlmm Handlor �dt ' ,',,
Wiliam Handlar
Name of person making statement
Name of person making statement.
v�
Personally Known x OR Pro e,� ication
Personally Known x OR Produ�+2 ia* cation
Type of Identification '''��{,'„a��`�� �S
Produced �M
Type of Identification 4�-
Produced11
—�
LQ 0
0'r
n . .
1�iriHa��?
(Signature of Notary of Florida) /f� 06�
(Signature of Notary Public- State of Flori �v; O� tp
/Public- GState
Commission No('6 rt2- c 11' V (Seal) �i0���
NO���0
Commission No. C Z (] AN""01
®
(sue
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MA�a
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RE
DATE
a
RECEIVED
DATE
COMPLETED