HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED A f^ -�^
Date: e3b1'iNNED Permit Number: 1 `o�ya`kli
® BY
C" St. Lucie County RECEIVED
0NO
Building Permit Application JUN lot 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Luote County
230D Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPQSED.INIPRO,VEMENT LOCATION:
Address: d. i e. C -
Legal Description., 1 f VC CXIrGf% , 41, �)GYIHNLV- woods Cp13 40'S
LO k I
PropertyTax ID ft: I'.J21 - 6OS - 000q - OW I Lot No: 13
Site Plan Name: Block No.
Project Name:
Setbacks Front 25 •5' Back: 'H•% Right Side: 3-()' Left Side:-) -IS r
I'DETAILED;D.ESCRIPTIONOFWORK:.
Construct Single Family Residence
Bedrooms Bathrooms Z Garage 2
CONSTRUCTION INFORMATION: ;
rruI�u�rajwnai wurA w ue nnunneu unuci una Penuu— u,c1n on 0PP,y.
I_IHVAC Gas Tank El Gas
Piping j�0'5hutters Windows/Doors
Electric 0 Plumbing ,f /1 OSprinklers L� Generator Z Roof Roof pitch
Total Sq. Ft of Construction: 27g9 S Ft. of First Floor: Z% 4 a
Cost of Construction: $� 334 03D. i•/ Utilities: Sewer ESeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameGReK GHG Meadawaad LLC
Name: William Handler
Address: 590 NW Mercantile Placo
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
FIII 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 at construction Is $2500 or more, a RECORDED Notice of Commencement Is required.
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MORTGAGE COMPANY: _ Not Applicable
Name:
DE5IGNER ENGINEER: Not Applicable
Name:rt.el.lr fiyl4inerrirw
Address: ++ n N cr
Address:
City: Pmsnue,
Zip: 31Ba7 Phone U+strems
State: rt
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Nat
Name:
Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT. Application is hereby mode to obtain a permit to do the work and installation as Indicated.
I certify that no work or Installation has commenced prlor to the Issuance of a permit.
St. Luce County makes no represe cation that Is granting a permit will authorize the ermit holder to build the subject structure
ii
which s In conflict with anY applicable Home Owners Association rules, bylaws or angcovenants that may restrict orprohibit 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 thisrequestedpermit, 1 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 intend to obtain financing, consult with le der or an attorney before
commencin wo k or recordin our Notice of Commencement.
Signature of dherLkery a/Contractor as Agent for Owner
Signature of C ac r ense Holder
STATE OF FLOgjD
COUNTY S e
STATE OF FLOTT
COUNTY f F L f t UE
OF Gl
OF.
The for sing Instrument was acknowledged before me
thls�0 day of t�r f n 4— . 204 by
The forgoing Instru e t was acknowledge before me
this [� `day of Gt •12 20 by
ffil11tRMt fl'Ry1AiPf
lil%�I�rAIYI I�AY4i�C✓
Name of person5iaking statement
Personally Known OR Produced Identification _
Name of person making statement
Personally Known J,," OR Produced Identification
Type of Identification
Type of I
rI
ro e
B a Dlm'a
Dima
na ce
(s -o oary tP ' - 5 f da GGO
�� ��. commission
January 9,
(I otary " FI 1551021
�'11� oary 9
•?F_ ' JNOnNota
Commisslon No = : F�)1�
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C mmission No. sci}tes:
firu Aaron
wide
Bonded
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.812/17