HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED'
j LA �- Permit Number:
Date:
§'v n ua1-: RECEIVED
Building Permit Application MAR 0 4 2022
ounty
Planning and Development Services St PerLucmlttInR
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: �(iLSSJ�,l' ccoT/yJ2/�1-
Address: 10to P -e 1-na{'' C- f' 4
Property Tax ID #: T ' I 06Is2 - 000- 0 Lot No.8
Site Plan Name: Block No.
M--t' Project Name: _CarKlo Can nh-y r, 6wt- L�4 -)- 0/)e
ETAI'LED_p,ESCR•fPTI,'ON!:QF WQRK:'
New Electrical Meter Second Electrical Meter
CANS+�RU.CTIQN:�INF,ORM'ATION:- . ' . - •_
Additional work to be performed under this permit -check all that apply: r S
_Mechanical _ Gas Tank _ Gas Piping _ hutters _ Windows/Doors _ Pond
_ Electric ,Plumbing _ Sprinklers _ Generator ,� y Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 00 0. DD Utilities: —Sewer _Septic Building Height:
OWNER%LESSEE.:''COI"TR'AtTOR:
-
Name GRBK GHO Meadowood LLC
Name: William Haridler
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
from the Owner listed above)
State or County License CBC051145
If value of construction Is 2500 or more, a RtLunutu Notice of %-ommencemem is requueu.
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
Name: NuaftEngincoring
Add ress:116Ja SW RUM St
City: PonStt.uoie State: FL
Zip: 34967 Phone 551.626.6975
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
Address:
City:
Zip: Phone: —
MORTGAGE COMPANY: x Nat Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: x Not Applicable
Name:
Address:
City:
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 anattornev before commencinE work or recording ur Notice of Commencement.
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Signature of Ownerr[esseeXontractor as Agent for Owner
Signature of ContrPzt' ;L4cense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF S1Luoio
COUNTY OF S1Lucie
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) anrr --k-43ed before me of
x P��ical Presence or Online Nntarization
this day of /iri 2022.by
x Physical Presen a or nline Notarization
thisr�Aay of f 2022by
e-th. ,
wd am Handler
VIM= Handler
Name of person making statement.
Name of person making statement.
,
Personally Known x OR Produced Identifice��P
Personally Known x OR Produced Identification
Identi�n,
pe of IdentificationIP
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Rev. 5/b/LU