HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �pc% Permit Number:
r?
Building Permit Application M
Planning and Development Services FEB 15 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 sT. Lucie County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentia
PERMIT APPLICATION FOR: Building 0
PROFO$ED IMPROVEMENT LQCATIb-N _ , '. `'" SCANNED "
Address: 3012 &r-A P1 mt Dr Pt *PiQrcv— tfy
Legal Description: CD-rIt) Country Club - uni} +Vis P- ILt aLsLv
PropertyTaxlDk:_Lot No. RULD
Site Plan Name: Block No.
Project Name:
Setbacks Front 2.5•_,; Back:15-2 r 7 Right Side: 30.0� Left Side: 36-0
+DETAILED'DESGRIFTION>'OF WORK - ' -.c • +- ,.EI
Construct Single Family Residence
Bedrooms Bathrooms 3 Garage c,
CONSTRUCTION INEORMATION ;
Muuiuund1 wurK w oe
EHVAC
errormea unuer mis
Gas Tank ❑Gas
permn— cnecK all Lau apply:
Piping
✓❑Windows/Doors
_Shutters
Electric
Plumbing
Sprinklers
11 Generator
21
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
3a(05
Cost of Construction:
$ 11>0 3`fri LII . Utilities:Sewer
Septic
Building Height:
`®W,NER%L'-ESSEE T N „
. CONTRACTOR:.;` „
Name GRBK GHO Meadowood LLC
Name: William Handler
Address:590 NW Mercantile Place
Company:" GiZ )( - ia*O hLO M-to
City: Port St Lucie State: FL
Zip Code: 34986 Fax:561-688-0909
Phone No 772-873-1711
Address: 590 NW Mercantile Place
City: Port St Lucie State:FL
Zip�ede. 3A9a6 fax. 561-689-G909
E-Mail:rebeccad@ghohomes.com
Phone No. 772-873-1711
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
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r 1•� ' r,..� G , �Y`'•�A +W'�1 , a cr..yn¢.a •4
''Bi11T i�+�QyNf2UCT,IO�f�1LQ''
lnf
u S ti y
s..,.a`iaa .- 1'.
aft AT�(� , >ti�r 'aGt;:.cry
syY"L11'+ON%
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
�.
r`
_ Not Applicable
State:
DESIGNER/ENGINEER: _ Not Applicable
Name: A/fiz: 9-Aeeri,u
Address:118x aW Rowena sl
city: Partsltutla State: FL
Zip: 34087 Phone 551629d975
FEE SIMPLE TITLEHOLDER: _Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Not Applicable
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. 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 an Y 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 leader or an attorney before
STATE OF FL
COUNTY OF
G
as
The forgoing instrum t was acknowledged before me
this�T-df1
ayof Zjo 1 .201by
Name of person aking statement
Personally Known OR Produced Identification
Type of Identification
'VF�-R"�a
Rev.
C0 ReDinna
if GG0600al)
Expires: January 9,. 2021
STATE OF FLO DA
COUNTY OF % • �.0 UC
The for Ing instrume was acknowledged before me
this ay of 20_& by
w iII'i Awl )4 4nart✓
Name of person making statement
Personally Known Ja,' OR Produced Identification
Type of Identification
ommission li GQq�l j 6
Expires: January 9, 20 1
Bonded thru Aaron Notary
FRONT I ZONING I SUPERVISOR I PLANS I VEGETATION I SEATURTLE I MANGROVE