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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED AI ILL I 00 • ©&D Pate: CANNED Permit Number: BY St. Lucie County - - - - - - pZCi:IVE© Building pp Permit Application Planning and Development Services 3uilding JUN 2 9 2018 and Code Regulation Division Permitting DepartmentSt. �300 Virginia Avenue, Fort Pierce FL 34982. Lucie County hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PhRMIT APPLICATION FOR: BuildingEl 3'P�20POSED]WROVEMENT LOCATION: 2 Address: 2•^1y-7 13?WT %Ji n" QM 1V-e 6 i ,_'At "l ) Lelgal Description: MONTE CARLO COUNRY CLUB -UNIT TWO- LOT 95 (OR 4123-266) �D Pry pertyTax ID #: 1334-502-0012-000-7 Lot No.95 Sil Plan Name: Block No. Project Name: Setbacks Front25.5' Back: 80.1' Right Side: 10.3' Left Side: 10.4' DETAILED DESCRIPTION OF WORK: - 1 C 1WSTRUCT SINGLE FAMILY RESIDENCE CiI L�C Cc/r/C e C{J,NSTRTOFOAON �UCRV itiona workto a er orme under this permit —check all �✓ HVAC Gas Tank Gas Piping tnat apply: Shutters Q✓ Windows/Doors _ POI Electric 0 PlumbingFV Sprinklers Generator Roof Roof pitch To I�al Sq. Ft of Construction: 3665 Coat of Construction: $ 100,000.00 Sq. of First Floor: 3665 Utilities: 21Sewer 0Septic Building Height: �OWdNER%LESSEE 'cM1y.i, CONTRACTOR..'; NJne &:Ja yy - M j19:e . /{ f' Name II1 a l.P D e y lyd Company: GHO HOMES CORP Address: 0t,1: Zi�l Phone LU 0 a State: Code: _ �j�/f �f [�i Fax: N ZA- No. %72- Address: S_D W&O In erc ah+,•1-e 1�_ . City: -,1-,%GA I State: FL Zip Code: 34986 Fax: 561-688-0909 E-Mall: /'I soLL±A liJ4 ty %&L4iDU,�t-A.4 Phone No. 772-873-1711 i'n fee simple Title Holder on next page ( if different Fill E-Mail: REBECCAD@GHOHOMES.COM State or County License: CBC051145 fro the Owner listed above) it value of construction is $Z5017 or more, a RECORDED Notice of Commencement is required. i ,SU,P?LEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: t&.L 44 . Name: Address: /,( �� f oc.. en;� - -�-. Address: City: State: City: "V - Jam- l.t,,L C; L Stater . Zip: 9-+ Phone,. Sb( - (A 2-4 - Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 6 ! certify that no work or installation has commenced prior to the issuance of a permit. fit. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure Which is in con lict 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. lrjI consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work ihI 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, acccessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use ARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for i'I provements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing, consult wit lender or an attorney before c mmencing work or recording r Notice of Commencement. h � h Signatu Hof 0wne / Lessee/Contractor as Agent for Owner se Holder Signa*1D ,� ATE OF FLORIDA STATE OOUNTYOFF4. ���w� COUNTG ri,' he for of instru twas acknowledged before me this y of �C 20 by The forgoing instrument was acknowledged efore me this Zgday of Ll. -� 20��by �,ll inw �G0,,,&r Name of perso making statement Personally Known OR Produced Identification Name of person aking statement Personally Known person Produced Id i icati ' ,Type of Ide�jification Type of Identification P uced 0 L 11 l/SA 5-11 8�j b3 I d Prod ed (SJ gn re of Notar c- t to of Florida) (S' to of No ublic- State of Florida) ,,, Rebecca Dima C mission 1 "' �y' ( # GG06087 Rebecca Dima Commissi M �, G' � _`�� ISSIOn Expires: Janu�aarExpires: miss # GG�� o ZOO January 9, 2021 =, tivu n Nota =,s; . aron Notary r Ile - REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED 'DATE OMPLETED Reb. 8/2/17