HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,
Date: l0 a1 a) Permit Number:
C04 6 Q 5* RECEIVED
0 OCT 2 7 2021
Buildin I Permit Application
9 �� St. Lucie County
Planning and Development Services Permitting
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Building S V p
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Address: -)Ck -_0Y
Property Tax ID #i: aa7l - ' no k N - OW " Lot No.�_
Site Plan Name: M_N_AJ — k 0 --I Block No.
Project Name:
Construct Single Family Residence
Bedrooms: _� Bathrooms: ?j Garage: �J
New Electrical Meter X Second Electrical Meter
Ad%echanical
nal work to be performed under this permit— check all that apply:
Gas Tank _Gas Piping Shutters Windows/Doors Pond
s
V Electric Plumbing sprinklers _ Generator V Roof Pitch
Total Sq. Ft of Construction: �� `� Sq. Ft. of First Floor: 1� 13 S
Cost of Construction: $ 100,000.00 Utilities: —Sewer _ Septic Building Height:
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I�®NTiA 4 t ®iR� E,
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: 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 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: NuolleEngmeermg Name:
Address:11634 SAY Rowena at Address:
City: Pon&LeGe State:FL City: State:
Zip: 94067 Phone 5G -m-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 andiposted on the jobsite before the first inspection. �f you intend to obtain financing, consult
with lender or an attorney before commencing work or recording vbur Notice of Commencement.
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Signature of OwnerJT69e/Contractor as Agent for Owner
Signature of Contraciarl.6rcense Holder
STATE OF FLORIDA
STATE OF FWFRIDA
COUNTY OF S1L.60
COUNTY OF St Lune
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 2"rday of SZQ± 2020 by
x Pbslcal Presence or Online Notarization
this 23' day of 74C 2020 by
9
Wham Hanalor �ql r
1/41am Handier
Name of person making statement. ' 't'
Name of person making statement.
Personally Known x OR Product! nt f'tion
Personally Known x OR Produced y ation
5 -.
Type of Identification
Type of Identification
Produced ��� C'�M
� / � � � ' ^ / Opp �c�
Produced
=��sa;� ,�•`
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(Signature of Notary ublic- State of Florida) O/�
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(Signature of Notary P lic- State of Florida
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Commission N _] 2 (Seal)
mmission Nolb Li t 0 (Sea Q C
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REVIEWS
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PLANS ,
VEGETATION
SEA TURTLE
MANG�
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIE ® O
DATE
RECEIVED
DATE
COMPLETED
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