HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I
Date: Permit Numbed In 2 -J (342, .xa
RECEIVED
C
1 017
Building Permit Applicatio 9
Planning and Development Services R
ECEIVED
B 15:2019
Building and Code Regulation Division 0 Y, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County P-It,t]mng
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSEMIMPROVEMENT LOCATION: SQANNFD
Address:3UXI Y-\r\o1kvqood Ln, F+ No-r-cz BY
Legal Description: Me ad owoocl,- LkrIiA - I oi3 (DY LI 119 -)2>33 9 la5 - 16-7) 1, LUCIe Coun
PropertyTaxlD#: 130k&-160t-0003-000-0 Lot No. 3
Site Plan Name: Block No.
Project Name:
Setbacks Front2_ _! 5' - s"Back: 06 7 r Right Side: 2-0'0 Left Side: 2-D, 0
ik'TTA ILE OliEKS RIP5 C RION017., , RK,.4, J,
Construct Single Family Residence
Bedrooms Bathrooms 3 Garage
CONSTRUCTION NEORMAT.IQN:
Additional work to be nerfor—m-e7ff—u-n-ffe-rThis permit - Check all apply:
HVAC Gas Tank E]Gas Piping Shutters Windows/Doors
Electric Plumbing RISprinklers Generator Roof Roof pitch -
Total Sq. Ft of Construction:— 3214-1 S Ft of First Floor:
Cost of Construction: Utilities ✓ Sewer EiSeptic Building Height:
MaT
CbNT1"
NameGRBK GHO Meadowood LLC
Name: William Handlar
Address: 590 NW Mercantile Place
Company: L.) H-D
Port St Lucie
City: State:FL
Zip Code: 34986 Fax: 561-688-0909
Phone No.772-873-11711
590
Address: NWMercantile Place
City, Port S_tLbc`L'e" State:FL
Zip Code: 34986 X, 4 Fax: 561-688-0909-
Phone No. 772-873-171
E.Mail:rebeccad@ghohomes.com
Fill In fee simple Title Holder on next page (if different
from the owner listed above)
E-Mail: rebeccad@ghohomes,6om
State or County License: CBC051145
it value 07 construction Is $U500 or more, a RECORDED Notice at Commencement Is required.
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DESIGNER ENGINEER: _ Not Applicable
Name:_ gLLLU.L £trainer, r,u
Address: ++e34 sw Rwom St
City: PO4SILuda State: FL
Zip: 34UT Phone 561-029•6975
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MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone•
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:-
BONDING COMPANY:
Name:
Not Applicable
Address:
City:
Zip: Phone:
Address:
City:
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 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 OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements t 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 with le der or an attorney before
commencing wok or recording vour Notice of Commencement. 11
Signature of s e/contractor as Agent for Owner
Signature of C ac r ense Holder
%no
STATE OF FD
STATE OF FLOgIDA
COUNTY OFl,Lt Gf E
COUNTY OF J 4- • b.f Cie
The forgoing Instrument was acknowledged before me
The forgoing Instrument was acknowledged before me
this PDay of rp - 201A by
this Aetlay of )c7;e / 20.4 by
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- W-ill ietwt P4YdLc,,
Name of personpiaking statement
Name of person making statement
Personally Known OR Produced Identlficatio `���
Personally Known' L,-"' OR Produced Identification
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T ntification
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of Nota fate of Florida)
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REVIEWS
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PLANS
VEGETATION
SEA TURTLE
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COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17