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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR AI� MCATION TO BE ACCEPTED Date: StLUCE) Permit Number: — 00- Y i " Building Permit Application RE`etu�o Planning and Development Services i. FEB 21 1010 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Permltting pePartment Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X st. Lucie County PERMIT APPLICATION FOR: Building l Cii. V ''4:} y+:.' �1.:.-C.-.X.• .�>J' :fV' .=�:AK -K V 4 j) p f 3. PROP'OSEDk'IIV1lPR0" ,, r a n, ,�_ a } e2 ,�^ . k � . ,tf £� .;.c�+, ix+l� �5, , .t _. h.a� x ,��r ..,-:��`a,:, �tX,. �,in! �-��?., 4�c ��_� .�,: ` N fii.` s .�;li�.�c )7 � n. ".: ri,• Address: 26// O S ap; Fez- 10/_ d (L'IL/I I Legal Description: /'�&r ►-ek to - ;K /frleAApLoyj .J (,LPy+ .7.ree 1-,o7r. 60 Property Tax ID #: z3__31/_Sbb ' ty6r_� - QDD — / Lot No. So Site Plan Name: Block No. Project Name: Setbacks Front 2515 Back: LIS- 3, Right Side: Z� Left Side: _ / 2- S Construct Single Family Residence Q J 4' C cit V Ql!�' ZHVAC Li Gas Tank Gas Piping LJ Shutters RElectric © Plumbing Sprinklers 11 Generator Total Sq. Ft of Construction: )0_1IzA S . Ft. of First Floor; _ Cost of Construction: $ 100,000.00 Utilities: Lr I Sewer II.Septic QWindows/Doors R1Roof _ Roof pitch Building Height: Y '. - # ^,W r ..:^t .. .,.sy `r '� 3`,T � . dii .lT � `•1 %N.4t`5�.1..P h R n Y $) �iY t li<b '� �,; t'i Yit y`rty Y�{tx#, �}'� � �1� iC,n...f:£ �Id /LESS§EE 'i $ ....f-: : a..wxp ,� t .XG "w^„�..i t . /.fib }�'ti . ..l a`i hp Y^FJt,�,, �j 4h} J-Y, 4' f `W.. i�.. `�:l ti Sj y.�'.`:.^t^4�'}'S�i�y T�:�•31 :� ��J"Y`��i.� to 7.S hJ }ZxAC;T.OR _,O�WaNEs .:S :�;f ti� ti4'r 5 ;;n 1. x , CtONi 4, t ,'. s � �:N r h,^ k__ F: Name GHO Meadowood Corp. Name: William Handler Company: GHO Homes Corp Address: 590 NW Mercantile Place City: Port St Lucie State: FL Address: 590 NW Mercantile Place City: Port St Lucie State: FL Zip Code: 34986 Fax:561-688-0909 Phone No.772-873-1711 Zip Code: 34986 Fax: 561-688-0909 Phone No. 772-873-1.711 E-Mail: rebeccad@ghohomes.com Fill in fee simple Title Holder on next page ( if different E-Mail: rebeccad@ghohomes.com from the Owner listed above) State or County License: CBC051145 IT value or construction is �2500 or more, a RECORDED Notice of Commencement is required. f d ti :(:`Ph n7�i�..,�'4��r����t�,�Ri_�.�:C - ke)I. x-'YJ,$y ,�:;�?"r4Y+f 3K"f'U: s:3'�ifi"r 1r,1�:�4 ..1 n �:; ii�iY`• .E CI$r�ejl��ra�><';,, rf7��;Yac.��y i�t,:.xt.,�t � 1 i �y}1 ;�, L :51. T xf� ;Sn,.,�;t&� Ik..�,�r' r�},�>'�yd"t-'yt�t,�a{2'a�'+�,,Ss s Ar4� S yf, A •..b, �t,��'^� fir;. 4nr r. ` Fw-„Y4 � r iC„r� r• .>• +'�v`i �'S^�`�. S{k 3,i�j-�t�fitilM;�� �I..��aL-.� ��P L iu;, Yti"N.-� l��r MORTGAGE COMPANY: ,��+:; ri:t cf�.Pws7 �'i 1. �'�4 t ,�-.. ��,� �t x Not Applicable DESIGNER/ENGINEER. _Not Applicable Name: NuelleEnginaering Name: Address: 11G34 SW Rowena S1 Address: City: purl sI �ucie State: p� City: State: Zip:349G7 Phone: GG,.GzsGs�e Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable Name: Name: Address: Address; City: City: Zip: Phone: Zip: Phone: 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 OWN R: Your failure to Record a Notice of Commencement may r suit in your paying twice for improvements to yo r property. A Notice of Commencement must be record d and posted on the jobsite before the first insp ction. If you intend to obtain financing, consult with len er or an attorney before commencing work o recording vour Notice of Commencement. Signature i�wner/Les e t `pMr as Agent for Owner Signature STATE OF FLORIDW U I STATE OF FLO4 COUNTY OF COUNTY OF M.- The for cling instrume s acknowledged before me this�� day of Ct i�— 20 by William Handlor 1 person acknowledging f Notar Public- State of Florida PersonaYADA51w'n x OR Produced Identification _ Type o dentification Produced Commission No. v&Aa pima # GG060876 20^ cT 6pires. January 9, ZazT Revised 07/15/Bonded thru Aamn Notary The forgoing instrument was acknowledged before me this a'�—day of ,TI A, 20 /6 by William Handler Nam erson knowledging ) r( one of ary Public- State of Florida ) //Persona Known X OR Produced Identification Type of Identification Produced Commission No, r,NAi ram_ RebeCC �a Commission # GG060876 Bn - Aaron No all Bonded thru REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS