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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONn ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q --PermitNumbef: Building Permit Applicatio JAN 0 2 2019st e Planning and Development Services ng y Building and Code Regulation Division ST. L-uele Gob. nty; Permitting CC 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: Building —5vk sz_'' `..trier' +iPROPQSE©;IM_'PRC2UEIVIENTmLOGATIQNTr :`0.`3`..,y't Address:aL43a Conifer 1>r Ft Pizrc.e EL_ 34G51 Legal Description: Prs} RW\oA in mkOLCkO ► 00A uni+ -I iYX - (I Property Tax IDN: LAW -t U-bUdS-WU-'3 Lot No. Ub Site Plan Name: Block No. Project Name: / C� Setbacks Front f s y Back: Jr•3 1 Right Side: Sr Left Side: _12-. S Construct Single Family Residence r5u�muo11ai worK co oe errormea unaer mis permn-cnecK an appry: t_JHVAC Gas Tank Gas P Ing _Shutters ✓Q Windows/Doors Electric Plumbing ^'7 -7 �Sp Inklers Generator Roof Roof pitch Total Sq. Ft of Construction: / -s- S Ft. of First Floor: 2 % 7 S Cost of Construction: p 3L���.2� Utilities:C2 Sewer ElSeptic Building Height: gW n A41ti.'C.a1 .1i.1cfsf..'Nv. }. r4. n Y.,Ir W.`.i } %nl•i 5, [R x4....?,Y Y : 5' l -e►a[ \^J:'tY.L . r.`.x.1iF^.1. ..14 .al. .. -5 �....'L KaYn..- f.T Name_ C52Bj< CH-D Me4AvW#oa LL.L Name: WIIiAw, P-IYidk� Address:51D NW M-erGgyrl-i12 IOL• Company: GHO Homes Corp City: Port St Lucie State:FL Zip Code: 34986 Fax: 561-688.0909 Phone No.772-673-1711 Address: 5 4)b /✓W PL - City: Pi- 54- tm eI e, State:FL Zip Code: 34986 Fax: 561-668-0909 Phone No. 772-673-1711 E-Mail: rebeccad@ghchomes.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 11 It value of construction Is $2500 or more, a RECORDED Notice of Commencement is required. 0, 6ESiGNER ENGINEER: =—Not-Applicable— -MORTGAGE-COMP-ANY• -N1otARp-licable Name: aeerily Name: Addres Address: City: Poasiweo State: FL City: State:_ Zip: 34WT Phone wlasaaera Zip: Phone: FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or Installation has commenced prior to the Issuance of a permit. St. Lude County makes no represertrtt tion that Is granting a permit will aut prize the permit holder to build the subject structure which is in conflict with az applicable Home Owners Association rules, by aws 0r 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 suit in your paying twice for improvements to youj¢} property. A Notice of Commencement must be recor ed and posted on the Jobsite before the first inspection. If you intend to obtain financing, consult with le der or an attorney before commencins work or ecordine your Notice of Commencement. Signature of Owner/ Les seg J o r as Agent for Owner Signature of Contractly or se older STATE OF FLDFDA U COUNTY OF S F �.Ct Gf a STATE OF FLO DA COUNTY OF Cie, The forgoing Instrument was acknowledged before me this J-ZAday of ilk/_ 2048 by The forgoing Instrument was acknowledged before me this 12day of 201B by 1A)I�`lFWI �AN�IJ?f Ii1��i�iGtiM I�QY4�lt✓ Name of person paking statement Personally Known OR Produced Identification _ Name of person making statement Personally Known _L," OR Produced Identification e dentification tification P e Produced (Sig ure of to tate1Iof Florida L pima Rgls�sion ( at a ota c- State o,i da ) Rebecca I a Y GG ���%ry�,�, mmisslon o �,1�"nrF•��i: GG060876�� (,�ppM 9, 1 *= Jacluary 202 mmission C mission No. ec ?empires: JanuaN 9, - - Expires: 1hAaron N N - Bonded 1hN pgron � ed "+ram REVIEWS FRONT ZONING SUPERVI R PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVI REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 1 4 G