HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� )
Date: ' Permit Number: 1 / 1 /- 0 0-7 &
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RECEIVED
rat. C, L71, lrx.971101.10
Building Permit Application NOV / 2 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x.
I PERMIT APPLICATION FOR: Building T* n, . 0
Address: ?�a/
Legal Description: lU.,( Q U"Ood — Unj -� 4tG
Property Tax ID
Site Plan Name:
1 1 Lot No.
Block No.
Project Name:
Setbacks Front 2 S Back: 26 •0" Right Side: .2—/. 5 Left Side: —;7/ .
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Construct Single Family Residence {� C_1_�Ve 3 0l 6,�r
ZHVAC
Electric
ing u Shutters Q Windows/Doors
RIPlumbing Sprinklers L1 Generator R] Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 100,000.00
S . Ft. of First Floor: �a
Utilities:ZSewer F Septic Building Height:
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Name GHO Meadowood Corp.
Address: 590 NW Mercantile Place
Name: WilliamrHandler
Company: GHO Homes Corp
City: Port St Lucie State: FL
Zip Code: 34986 Fax:561-688-0909
Phone No.772-873-1711
Address: 590 NW Mercantile Place
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 561-688-0909
Phone No. 772-873-1711
E-Mail: rebeccad@ghohomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: rebeccad@ghohomes.com
State or County License: CBC051145
it value or construction is ylsuu or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Applicable
Name: NuelleEnginnering
Address: 11634 SW Rowena St
City: Port St Lucie State: Fl.
Zip: 34987 Phone: 561.629.6975
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
x Not Applicable
tate:
X Not Applicable
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 0 NER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorde and posted on the jobsite
before the first i pection. If you intend to obtain financing, consult with lend r or an attorney before
commencing wo or recording; your Notice of Commencement.
Signature of 0 er ee/Contractor as Agent for Owner
Signature of Cont ctot
STATE OF FL IDA
STATE OF FLORIDA
COUNTY OF -
COUNTY OF ---
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this.30716'day of Q C_ 20 f Zby this�"day of DST 20 -� by
William Handler 'L I William Handler
(Name of perms-aGkQowledging) Im p
edging)
u_FNof QIISt ublic- State of Florida )
Personalyl4k, lwn x OR Produced Identification P'ersonallyAKnown x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. , 11 r (swbecca Dima Commission No. (Seal)
commission # GG060876
,,,���..��/,,"; Rebecca Dima
�; '
Revised 07/15/2014 r t` Bo ed thN Aaron No�N ` •"= Expires: January 9 2021
nd
r�'�'�```°�� r���`%Fo�''...��`'� Bonded thru Aaron Mary
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS