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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �' p ' / Permit Number: I 0,0 c� p45 RECEIVED Building PEg0A4N&pplicati n `MAR 2 8 2019 Planning and Development Services BY ' Building and Code Regulation Division St. Lucie County Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 o%inty FL Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial St' C r PERMIT APPLICATION FOR: Building n __.., EDcIMP-ROVEMENT LOC,ATION:. _- = Address: 3304 32(11 PiDS by Property Tax ID q: I321 - V) I - DO SS - D00 -S Lot No. 21 q Site Plan Name: Block No. Project Name: Setbacks Front 2S-s Back: } Right Side: Z9: D Left Side: 2 • v IDETAILEDiDESCRIPTIONaOF WORK i,l Construct Single Family Residence Bedrooms Bathrooms Garage j=CONSTRUGTION:INF,.ORMATION; 2 nwV mwimcu uuunI uiu Nei IuL—uiec.n du apply: ZHW Gas Tank ❑Gas Piping _ Shutters ✓Q Windows/Doors Electric 21 Plumbing Sprinklers Generator Roof Roof pitch ¢ Total Sq. Ft of Construction: 3 Z-v � S Ft. of First Floor: 32 (R� Cost of Construction: $ 10�0 35�1! (// Utilities: Sewer 11 Septic Building Height: OWN%AESSEE% , : ,CONTRACTOR:., NameGRBK GHO Meadowood LLC Name: William Handler Address:590 NW Mercantile Place Company: GHO Homes Corp 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 Code: 34986 Fax: 561-688-0909 Phone No. 772-873-1711 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.com State or County License: CBC051145 .aUC .n wnou uLuun n -?cJuu or mare, a newnueu nouce or commencement Is required. La 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 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 i spection. If you jntend to obtain financing, consult with le der or an attorney before commencing wo k or recordingour Notice of Commencement. Rev. 8/2/17 + Y , r � �j� "i`; -•4 K.•'i � +� Fa t'j +.fT I C� � N RiUC'A];,® `� •l�� � ya �;' ? > ^a?+'-•. . ..o!a "a'4 t t t „s^y •6'R�'•' � ':� 4aay � ..+' ,i. iu^^'l ;u+:, i� .. z._: �. ,+� Ka4j, - 4'.�m�,:. s "%�>�t'4 ..� {�..r'�wi.,srs'�': i•-e� DESIGNER ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name:_NuelA.z £na;rlerrinu . Name: Address: ++� swn�oAa s+ Address: City: vices+waA State: � State: -Zip: Baer -- -Phone ss+azsaers _City: Zip: Phone: FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City City Zip: Phone: Zip: Phone: Signature of ne a/Contractor as Agent for Owner Signature of C ac r ' ense Holder STATE OF FLO�(D� Get STATE OF FLOq�DA COUNTY OF S -f- • Gf e• COUNTY OF . J •1- .Lf (�+✓ The forgoing instrument was acknowledged before me The forgoing Instrument was acknowledged before me this _ day of . 20_ by this _day of . 20_ by III �1 W1 �RVI�r!?f f�l% ��� � AYYt � AYIr��-r✓ _ Name of person eking statement Name of person making statement Personally KnoWn,�OR Produced Identification Personally Known JL OR Produced Identification Type of Identification Type of Identification Produced x Produced (Signature of Notary Public- State of Florida j (Signature of Notary Public- State of Florida I I Commission No. (Sea() Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW —REVIEW REVIEW REVIEW REVIEW DATE RECEIVED � DATE COMPLETED � 'der m i �- lq`D3.0 �'. Jf► c.P. �, .'w+R.:C� yt , �i`"1A WT_y�.:••c ina uy*� 5:.... 1 'W ,su , ,� +Irc©NR,ul'.o�n� sroi�uy �.a c .n�•�:cc�: _ . .gran Y.�k 1' r. .-.; .,, �., i. � � _ a-�. �k7�, � j-ti�''li� ra,�y,-�"y'-y3j�,Y�r_��:,) � 'rt��i.i ,yy"�', 4 �.u' - s_ _ ..�►©• . 4�c4ir.'aa �.Yi�, ,T"'ta J DESIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name: lJuzL, £na-neerina Name: _ Address: lmuswRw� Address: City: PartalLUCa State: FL City: State: Zip:- s+esr Phone-561429.9ara Zip: Phone: FEE SIMPLETITLE HOLDER: _ 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. 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 anY applicable Home Owners Association rules, bylaws or and covenants that may trickor ere Ey rstch-- structure. Please consult with your Home Owners Association and review your deed for any restrictions w ich may 1V t I) In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perf rm the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. APR O 8 2019 The following building permit applications are exempt from undergoing a full concurrency review: room a ditions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another n , gysidgatiatusety, Perml WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying improvements t your property, A Notice of Commencement must be recork ded and posted on before the first inspection. If you intend to obtain financing, consult with leader or an attorney cing commenwo or recording vour Notice of Commencement. 1 Signature of fie s e/Contractor as Agent for Owner Signature of C ac r en se Holder STATE OF FLOq�D / COUNTY OFGf e• STATE OF FL! / Ue _S l.1 t COUNTY OF_ J [ (1 The forgoing instrument was acknowledge before me The forgoing Instrument was acknowledged before me this Z?day of A'? if ✓V- 20_a by this day of 1d7(r Gh 20_,�Jby (A)1111 ti t o OA- h A I.P,- W -r I I '2 A 1yt F-f a vv] I.e .. Name of person making statement Name of person making statement Personally Known OR Produced Identification Personally Known' L,,' OR Produced Identification Type of Identification Type of Identification n, roduce ADZ E . (Slgna Not St ' ture of tary State of Florida I Dima Commission a '�F= Commission � fG��0^,,6Q>L� °p 4,�(���,, Rebecca Ire Janual� 9 1 Commissiooen GG06QBIZG11 � st n Notary Bonded thru Aaron =` E*ires: January 9, 2021 �A. ` ded thru Aaron Notary m,mm� nnn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. S/Z/17 1go3-o6aQ;