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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