HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE CO
Date: ✓ +
APLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: O 54�
RECEIVED
Bui �,. iil4.mit Application
MAY 18 2018
Planning and Development Services BY
Building and Code Regulation Division st �uC ecDun ST. LuGie g9unty, PLrn11ttlnQ
2300 Virginia Avenue, Fort Pierce FL 34982 _e__--
Phone: (772) 462-1553 Fax: (772) 462-15 8 Commercial Residential X
PERMIT APPLICATION FOR:
Buildin
y t F t
PR"OPOSED�IMPROVfMENT LOCATION
.v, r{... .0 .4
Address:
Legal Description:
n-e I Az-;
Property Tax ID #: ;-',)O/
Site Plan Name:
Project Name:
i
Setbacks Front Back: s 6
;efl-c 31R5_1 'a
���1/1IL i1■�A/S�J
DDO - 1 Lot No. 2--7-7
Block No.
Right'Side: 4X7. s Left Side: ,�2-7 • S
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�� y a i. +:� c &' r ta✓ i n .r.,r avh! paJ -t 7 to ��.. '� .eri. xf
DETAILED DESC�(RIP�TION OF WORK1S
_..w a`. zw-[:�!'i.... !/iM <. N�� .,?j.. .,,u: ,. d. 1. x.i.l S', ak r�rr ,<<.+ Yi.Gr ..Y'i'.. .,. 5�. ,r-. ��p ):.. .. it .__•. ey,a .._ 4 4. ,ei�>. .4.v.,.::A'4 - '��
Construct Single Family Residence I �J �rjeD �� h A+i� %�✓a49E
Haaitional worK to pe ertormea under tnis permit- cnecK an apply:
RJHVAC0 Gas Tank InGas Piping _ Shutters ✓Q Windows/Doors
R] Electric ❑✓ Plumbing zSprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 2 S . Ft. of First Floor: 32- � 8
Cost of Construction: $ 100,000.00 Utilities: LJ Sewer Septic Building Height:
,l�� � •a,< ��;' �
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,=OdUVrNER/LESSEE �, ,r k�� ,,� ,,�, ..CONTRACTOR
r
Name_ ,K6K CWy lei-eAAowooZ I LL4_
Name: W,II)ti,lw ahc) 1e
Address: .S 0 /VW /V) ercctyrH i e I V1,•
Company: GHO Homes Corp
City: Port St Lucie State:FL
Address: SIO)b NW Mey-cc4r) -W I-e PL .
Zip Code:34986 Fax:561-688-0909
City: 194- S-� (/tiGiC- State: FL
Phone No.772-873-1711 I
Zip Code: 34986 Fax: 561-688-0909!., .
Phone No. 772-873-1711
E-Mail: rebeccad@ghohomes.com
E-Mail:rebeccad@ghohomes.com I
Fill in fee simple Title Holder on next page ( if different
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.
f a }'. "�# 1
°SUPFLEMENsTAL CQNSTRUCTCYN11IEN1iL
"W INFOR+MATION`
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name: Aly—eU,'t._ �,Yie4l4eeAr%4
_
Name:
Address: 11634 SW Rowena St
Address:
City: Port St Lucie State:
Zip: 34967 Phone 661-629-6975
FL
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not
Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: I
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Applic I tion is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has comme ced 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 0 iners 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 a empt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, w lls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement m y result in your paying twice for
improvements your property. A Notice of Commencement must be re rded and posted on the jobsite
before the firstspection. If you intend �to obtain financing, consult with ender or an attorney before
commencing w rk or recording vour Notice of Commencement.
Signature of 0 e / Le on ractor as Age
it for Owner
Signature of acto Li nse Holder
STATE OF FLOR1 DA /! '' ''
- W 6 e-
STATE OF FLO IDA
COUNTY OF JL C;C
COUNTY OF - •
The forgoing instrument was acknowledged b
fore me
The forgoing instrument was acknowledged before me
by
this :7P- day of 11nGiA 20�_6_ -y
this _ 7Nay of 20�6
ification
Name of person making statement
Personally Known _� OR Produced Iden
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Type of Identification
P ced
PL
f No u 'c- State of Florida,'
ecca Doa
# Gg060878
(S g a re o Nota Publi � �Iltate of FloOdeca Dima
J %�`.¢•�.�,,, io GG060876
IVo. �`�P V" ��+ C(
ni � _ empires:
lion
��Uary g, 2021
C mmission o.q �' Comm g, 2021
� _ Facpire
17,
thru Aaron tyotaN
;;;F� Bonded thru Aaron NotaN
••: Bondgd
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I110
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DATE
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ye IK
Rev. 8/2/17