HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. W
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ALLIpPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Da
lle: Permit Number: �� •�l
BY
county
RECEIVED
Bulyding Permit Application jut oS Zola
Plo I Wing and Development Services
Bui ing and Code Regulation Division permitting Department
23 Virginia Avenue, Fort Pierce FL 34982
St. tuc►e County
Ph ne: (772) 462-1553 Fax: (772),.4624578 Commercial Residential x
PE
IT APPLICATION FOR: Building .
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Prop rty Tax ID #: /3 Y — a0/. 3 - Oa e 'io Lot No.
Site 1 an Name: Block No.
ProI t Name:
Setb cks Front ZS• Z51 Back: LJs -J / Right Side: /Z •S Left Side:
Construct Single Family Residence
Haaly onai work to ne errormea unaer tnis permit- cnecK all apply:
�1 HVAC Gas Tank Gas Piping Shutters a✓ Windows/Doors
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✓ Electric 0 Plumbing Sprinklers Generator a Roof Roof pitch
Total q. Ft of Construction: S . Ft. of First Floor:�-
Cost q Construction: $ 100,000.00 Utilities Sewer Septic Building Height:
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Nam 'II �r2g L i-i D AAxAAacvood L Le—
Name: l� ,il Into I4ctYld Ie r
Adcl4s: -5e,)o NW jib ey-Cct.yI IOL•
Company: GHO Homes Corp
City: ort St Lucie State:FL
Address: $fib NW i'Yl $►-c c n 4j I.-e- pL -
Zip C II de: 34986 Fax: 561-688-0909
City: 193- S� (J4,ti e, State: FL
Phone No.772-873-1711
Zip Code: 34986 Fax: 561-688-0909
E-Ma rebeccad@ghohomes.com
Phone No. 772-873-1711
Fill in ee simple Title Holder on next page ( if different
E-Mail: rebeccad@ghohomes.com
from a Owner listed above)
State or County License: CBC051145
it vaiuql of construction is SZ500 or more, a RECORDED Notice of Commencement is required.
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ESIGNER/ENGINEER: _ Not Applicable
am e: Nuelle Engineering
J d re ss: 11634 SW Rowena Sl
ty: Port St Lucie State: FL
p: 34967 —__ _ _ Phone: 561.629.6975
E SIMPLE TITLE HOLDER: x Not Applicable
me:
dress:
zibyPhone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
tate:
x Not Applicable
I ertify 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
w ich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
st ucture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
T following building permit applications are exempt from undergoing a full concurrency review: room additions,
ac,essory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements 1:4 your property. A Notice of Commencement must be recordeb and posted on the jobsite
b fore the first spection. If you intend to obtain financing, consult with lend r or an attorney before
c mencing wo I< or recording vour Notice of Commencement.
ture of
STj; TE OF FLORI[4A
COUNTY OF --
as Agent for Owner
Tl'�e forgoing instrume t was acknowledged efore me
th_2ANY of L& -2 20 by
Willi m HandlerT .1
1
)fperson acknowledging )
( i f N ublic- State of Florida)
PsrrionallOofown x
Tyke of Identification P
mission No.
07/15/2014
OR Produced IdentificatiR
ro�rlp
in_ 0fthor.ra 4f e —
Ple)JanuaNs g, 2021
n Notary
Rnnded thru
Signature of Contracf&rJ0cge6e Holder
STATE OF FLORIDA
COUNTY OF SIL.-
The forgoing instrument was acknowledged before me
this2'din"ay of I"—
h --e by
William Handler
acknowledging..
(- nat f ary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. a!l"d!ri� gCca Dima
Commission GN962a26
Bonded thru Aaron o►�aN—
RIVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
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