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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONy4 g , t � _ a ALL APPLICABLE INFOJMUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: / Permit Number: t' , In Building Permit Application P✓ Planning and Development Services St. Lucie t_,.Jc_:ALy, C-L Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Building l RROPOSEJ®`INIiPRO�V=EMENii�,LOC'Q�TIQ.N <.:., Address: �1> .3 ,� -ehk Pi a e Doz.,�'%�T p / eI-Cf, 5 q M OX LegalDescription:MbnAd ✓10 .a'Gf? ,,4 GUV);+ 4-wU /W 1lD!�_?_ Property Tax ID #:133q — c562 - 00/N'- 000 Lot No._O/_�_ Site Plan Name: Block No. Project Name: Setbacks Front 5. S / Back: -73 +0 I Right Side: 2­0 • d / Left Side: y�/ Construct Single Family Residence 3 l-adl7g 3 CONS iR+tt 4,11NIFORMAtTI'ON` Haamonal worKto oe perTormeci unaertnis permit —cnecK an apply: ZHVAC _ Gas Tank Gas Piping _ Shutters Q Windows/Doors Electric © Plumbing Sprinklers Generator Z Roof Roof pitch Total Sq. Ft of Construction: 16z9 S . Ft. of First Floor: .32— 7 Cost of Construction: $ 100,000.00 Utilities: LJSewer 7Septic Building Height: 4 _ O,WNIE'R i _ -' �.j -.l. _' , , LESSEE r r x i �� t C...... t. .�,. . •— (' ,tea .. CONTR'ACT®R r t Name GHO Meadowood Corp. Name: William Handier Company: GHO Homes Corp Address: 590 NW Mercantile Place 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 :�ZSuu or more, a RECORDED Notice or commencement is required. DESIGNER/ENGINEER: Name: NuelleEnglnnering Address: 11634SWRowenaSt City: Port St Lucie Zip: 34967 Phone: 561.629-6975 FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: Not Applicable State: FL x Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: x Not Applicable State: x Not Applicable 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 OWNE ;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 recorded and posted on the jobsite before the first inspe tion. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording your Notice of Commencement. Signature of Own Lesse tractor as Agent for Owner Signature of Co ct ' Ic�fSs_Ho STATE OF FLORIDA STATE OF FLORIDA G// COUNTY OF 511 J• COUNTY OF -- The for oing instrument was acknowledged before me tl , c ay of Aa 20 /_7 by William Handler -I- acknowledging) The forgoing instrument was acknowledged before me this ,?k8ay of 20 //1 by William Handler (Na�e-a>; persog_�Lcknowledging ) ry Public- State of Florida ) I;0natu)e of-11-otary Public- State of Florida ) PersorAlly Known x OR Produced Identification `� Person0y Known x OR Produced Identification Type f Identification Produced I Type of Identification Produced Commission No. (Seal) Commission No. �`' "' , RebdbsalDima '��fte", Rebecca Dima 4 �;rnMMiSCommission # GGO MM Revised Expires: January 9 2021 �ary � s 07/15/2014•••.� Bonded thrU Aaron Notary Bonded thru Aaron Notary iiq,gAJ � nIp1N REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS H2'