HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO Mu(1 BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' I v�� SCANNED Permit Number: U t N1
13Y RECEIVED
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e St. Lucie County lu
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Building Permit Application Permitting ?019
Building and Code Regulation Division D Planning and Development Services St' Lucie
uCou tl,
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: 1772)462-1553 Fax: (772)462.157B Commercial Residential X
PERMIT APPLICATION FOR: Building U III
Address: GH 1 `-j Elfjn-t- `NIY\_ UY
Legal Description: Mon+e Ct^aY in cia,.,n-Hr\Cluh - unk++hr-c-e -
it7+ 2L20
Property Tax to ft: J2-, O I " MoIC) - cc V - 3 Lot No.-
Site Plan Name: Block No.
Project Name:
Setbacks Frei 0' Back: 2• r Right Side:_-'�13•0 r Left Side: ZI. 0
DETAILED -DESCRIPTION -OF WORK:-
Construct Single Family Residence
Bedrooms `�_) Bathrooms 3 ' Garage 3
I'CONSTRUGTION'INFORMATION: `
AW3difiana war o e oar orme underthiss permi - c ec c all app y:
aHVAC Gas Tank ❑Gas Piping llam�_ Shutters �I Windows/Doors
Electric 0 Plum2biinlgr�� ZSprinklers L-d Generator i- Roof Roof pitch
Total Sq. Ft of Construction: J / w 5Ft of First Floor: S�O S •I
Cost of Construction: 5 100.000 Utilities Sewer 0Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name GRSK CHO htoadawaad LLC
Name: William Handler
Address:590 NW Mercantile Place
Company: GHD Homes Corp
City: Part St Lucia State: FL
Zip Code: 34986 Fax:561-68"909
Phone No.772.873-1711
Address: 590 NW Mercantile Place
City: Port St Lucie State'FL
Zip Code: 34986 Fax: 551-688.0909
Phone No. 772-873-1711
E-Mail:febecead@ghohomos.com
Fill In fee simple Title Holder on next page I if different
from the Owner listed above)
E-Mail: rebeccad@ghohomes.com
State or County License: CBC051145
it value or construction Is 52500 or more, a RECORDED Notice of Commencement Is required.
� Yf�t�el.
WOMEN.. y_,_6 Y
Y, ,1yya�l��fjpfai
r
DESIGNER ENGINEER: _ Not Applicable
MORTGAGE COMPANYt
Not Applicable
Name:. NutU._ £tna'reerinc
Name:
_
Addmss:nw=P-.woa
Address: - --
City:aYtncYe. State: n
City:
State:_
ZIP: s'N? Phone rarasoerrs
ZIP: Phone:
FEE SIMPLE TnU HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFICIVIT. Appilcatlon Is hereby mode to obtain a permit to do the work and Installation as Indicated.
1 carlify that no wort or Instalatlon hus commenced prior to that Issuance of a permit
st, Lu 'e CountNy ma no represent tl nthatis grontinaappeermlt will caul orite the emd[hoider to build theau6lact sttnnl1chan
wmehys In Lonllitt wi anjaplplictinoF�ameownen AssaciaIan rulova�r e�t eovewnts= 1172Yrewrict rppprPhibltsuch
structure. Please coosuitw th our Home Owners Association and tell,,w our ate c r any restrct}sons hfc ms a �p
In comlderatlon of the gmnung of this requested permit, I do hereby egress that I wig, In all respects, perform the work
In accordance wbh the approved plans, the Florida Building codes and St. Lucia County Amendments.
The following building parmlt appOcauons are exempt from underlining afull concurrencyroview: room additions,
attessory structures, sudmmfng pools, lances, walls, allies, screen rooms and accessory uses to anoliter nonaesidentld use
WARNING TO OWNER: Your failure to Record alloticoofCommencement may result Inyour paying twice for --
improvements your pproperty. A Notice of Commencement must be recorded and posted an the jobstte
heforE the Rrst specUon. If you Intend to obtain financing, consult with le�lder Oran attorney beFare
mmmenCine coo k ar rerardino vnur Nntlro nF rnmmnnnament_
SlgnatureorOwh eMContrattor as Agent (atom"
Slgnature of Contractor (ctenso Holder
STATE OF FLORI I
COUNTYOF_ • �.we-
STATE OF FL??q�
COUNTYOFsf-il� • UlCUC.
The forgoing Instrvment was acknowledged before me
The forgoing instrument was admowledged before me
this—Ldayof _tuts 20A by
tbic_l_dayofAlAh_ton by
IA611; 4m �byl i
Namcorpenon kingstalemenl
Persenaliygnown=o'll Produced Identification_
Nomeofparm makingstatement
Persawgy Known 9 OR Produced Identification_
Type of Idenlglcation
Type of Identificattan
Produced
Produced
Isf nature or Notary Pu f 1e
arotu of Notary Public- stole of Florida)
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