HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:%Il 1 o Permit Number:
C*� C &2
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Res
RECEIVED
MAY 0 7 2019
ST. Lucie Caiinty, Permitting
PERMIT APPLICATION FOR: Building
_ SF
SCANNED
Q,
jlikRG
Address: 2g(Pg 5--n+ Mlle f-)r•
Legal Description: "•Dr4f CCti' () Qo,,lnL-Y� Cll, o - k-An1+ +Iny-ee
Property Tax to #: 1521 - 201 - Q01 CLQ - 3
Site Plan Name:
Proiect Name:
Setbacks Front25•5 Back: 42.bRightSide:22•S Left Side:3Y,9
I Construct Single Family Residence
Bedrooms 3 Bathrooms 3 Garage 3
!CONSTRUCTION7NFORMATIQN;_7._ J
I_(HVAC L—jGasTank "Gas Piping
EjElectric Z Plumbing ZSprinl
Total Sq. Ft of Construction: '�Yt co
Cost of Construction: $ 100.000
Lot No. G5�
Block No.
Shutters Q Windows/Doors
Generator Roof = Roof pitch
S�FFtt.� of First Floor:
utilities: Sewer Septic
Building Height:
OUVNER/LESSEE' ,;`^'
CONTRACTOR
Name GRBK GHO Meadovmod LLC
Name: William Handier
Address:590 NW Mercantile Place
Company: GHO Homes Corp
City: Port St Lucie State:FL
Zip Code: 34986 Fax:561488.0909
Phone N0.772.873-1711
Address: 590 NW Mercantilo Place
City: Port St Lucie State: FL
Zip Code: 34986 Fax: 561.688.0909
Phone No. 772-873-1711
E-Mail:rebeccad@ghchomes.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: rebeccad@ghchomes.com
State or County License: CBC051145
it value or construction Is 5Z500 or more, a RECORDED Notice of Commencement is required.
'i �'J 1( �. yq'^t
U, _ fL
-ENGINEER:
i,i a r. i u. ;ti v
f!?!rR��`�sY n��''��.'
.. ?° Ri'"
� c �� T� °
1••-.m i.,.,.•... .M•r:r: _..,
• ��"S"+"'•7y' ��"+�'i1'G,g51hi f vt�(ai -�
- $
'��
DESIGNER _ Not Applicabley
MORTGAGE COMPANY: Not Applicable
Name; it/r lA� fivr )eeri!y
_
Name:
Address: ++euswna. Ns+
Address:
City: State: _
City: Pai151Wd0 State: R
Zip: ]laar Phone sstarreera
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable
BONDING COMPANY: Nat 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.
In consideration of the granting of this requested permit, I do hereby agree that[ will, in all respects, perform the work
In accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following bullding 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 tgqyour property. A Notice of Commencement must be recorded and posted on the jobsite
before the first igspection. If you Intend to obtain financing, consult with le}Ider or an attorney before
commencinz wottk or recordine vour Notice of Commencement. 1
Signature of ne a/Contractor as Agent•for Owner
Signature of CqntracthrLLLriense Holder
STATE OF FLO?DA
NTY COUOF i- • " ra a
STATE OF FLORiDA
COUNTY OF l Lf Cat%
The lb gains Instrument was acknowledge before me
this Z/bay of 20-4 by
The for oing Instrument was acknowledged before me
this - 20ff by df day of
I1AzIIIictM f-ylal•es
WIII'sAwt 14
Name of person aking statement
Personally Known, OR Produced Identification
Name of person making statement
Personally Known � OR Produc did��jlfication
,����^"
Type of Identifcation k4 t4 Rebecca Im
��`'
Type of Identification
'��
: Commission # GG06087
5Prgd — _
Expires: January
R
Boni %9'
a Bonded thru Aaron No
`" 'oil iuO
F(sure o State of Flarlda)
(Sign tur Public-Sta ofFlarlda)mission
o. (Seal)
Commission No. Sea)0
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
EDETED
ft
Rev.8/2/17