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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� 1 'p Date: - �� �O FCC t%L Permit Number: bl` l ^ c 00144 RECEIVED Building Permit Application APR 1SCAW 2 1018 Planning and Development Services BY Building and Code Regulation Division Permitting DepartmenESt. Lucie 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Building PROPOSED•I�MPROUE(VLENT'_L',OCATION.. _�`, Legal Description: Property Tax ID q: Site Plan Name: Project Name: ;Setbacks:' Front Back:50, q Right Side: �P -4 Left Side: 2(p Construct Single Family Residence Bedrooms 3 Bathrooms 5 IA,C©NSTRINCTI®NdINF,ORMATIQN':. HVAC L_j Gas Tank UGas Piping Electric 0 Plumbing Sprinklers Garage 3 Lot No. 25 -7 Block No. Shutters ❑✓ Windows/Doors Generator F- Roof = Roof pitch Total Sq. Ft of Construction: �J�� I . S Ft. of First Floor: SU1 I Cost of Construction: $ 100,000 Yy� S1, , SS' Utilities: Sewer 05eptic Building Height: °C©NTRACTOR;; Name GRBK GHO Meadovvaad 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 Ir vaiue or construction Is yZ5110 or more, a RECORDED Notice of Commencement is required. u .-.. L. ,'i^" gnyr_S.rp '�u. Mns H. :Egli �YI ^!?F'%I rr.�""'• i :5,' DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable Name:_NtteLLt £VI9;/leerrna Name: Address: I+euswaw� si Address: City: Pn6atLuda State: PL City: State:_ Zip: sear Phone 6616208975 Zip: Phone: FEE SIMPLE TITLE 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. 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 anj applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such structure. Please consult w th 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 fallowing building permit applications are exempt from undergoing a full concurrency review: room additions, accessorystructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use w WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements tqq 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 commencing wottk or recording vour Notice of Commencement. 1 Signature of no s e/Contractor as. Agent for Owner Signature of C ac 1&4erse Holder STATE OF FLORIDSTATE COUNTY OF S 4 • Li t 6 e- OF FLOf1�DA , COUNTY OF 4,LU U� The forgoing instrument was acknowledge before me this-r-day of A1a,2}_I 20 by The forgoing Instrumept was acknowledged efore me this fL�y of !� 0� ! 20f by 1&Z1II M AgVIA�P/ —W r�� I A4Yt NY4��d✓ Name of personMaking statement Personally Known OR Produced Identification- Name of person making statement Personally Known S,--' OR Produced Identification Type of Identi tion Type of Identification ro c � ro u ( iture of NoN Public- Staterid��jac� GGp6" Oal ; 202 (Sign tary P ate of Florida I [inbBCCa 0d060B� c mmission o" , 0911g soon g <% C6 +5 �anoary on�otaN ; � ,, Aslon Commission No. �" tiF'',113CM1, . SanuaN 9, 20 N Phas',�itu Aaron ga Duce a Bonded REVIEWS FRONT "111KING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17