HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 9 , 0 e— ID SCANN Permit Number: "JI
16
�� ED
� BY
St. Lucie County
Building Permit
Planning and Development Services
Building and ode Regulation Division
2300 Virginia (Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax-. (772) 462-1578 Commercial
PERMITTYPE: Buildi
SEP 2 7 2019
ST. Lucie County,
Residential X
I PROPOSED IMPROVEMENT LOCATION: .1
Address: i oz cun(ye.Y (firIV-•2—,
Property Tax ID #: 1331- 50U - CD2S - COO ' 3 Lot No.U_
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Bedrooms:
Bathrooms: 2 Garage: 2
CONSTRUCTION,INFORMATION
,,°'
i
Additional work to be performed under this permit- check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters
ZElectric _01umbing ✓Sprinklers _Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 100000 !' U)iliUes: i/ Sewer _Septic
'� Windows/Doors
✓Roof Pitch
Building Height:
OWNER/LESSEE:
- ` ,.
'CONTRACTOR:
NameGRBK
GHO Meadowood LLC
Name: William Handler
Address:
5?��g0
NW Mercantile Place ,
Company:GRBK GHO Homes LLC
City; PortJLucie State:FF
Zip Code: 34986 Faz 561-688-0909
Phone No.772-873-1711 \ ,
Address:590 NW Mercantile Place
City: Port St. Lucie State: F�
Zip Code: 34986 Fax: 561-688-0909
Phone N0772-873-1711
E-Mail: Permitting@ghohomes.cdm',
Fill in fee simple Title Holder on next page (if different
from the Owner listed above) ";
E-Mail Permitting@ghohomes.com
State or County LicenseCBC061145
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
N a me: Nuelle Engineering Name:
Address; 1163, SW Rmene St Address:
City: PonSLLude State: n City: State:
Zip: M987 Phone%1429-8975 Zip: Phone:
FEE SIMPLEITITLE HOLDER: ✓ Not Applicable I BONDING COMPANY: Not Applicable
City:-
Zip: -
Address:
Zip:
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 ith the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following Gilding 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 TQII OWN'R' YOUR FAILURE TO RECORD A NOTICE OF COMMEN MENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP OYEMENTS TO YOUR PROPERTY. A NOTICE OF COM NCEMENT MUST BE RECORDED AND
POSTED ON TH JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INT ND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Ow / ntractor as Agent for Owner
Sign ontrac License Holder
LORID STATE OF F
STATE OF RI
COUNTY OFSL Lucie
COUNTY Lucie
The forgoing instrument was acknowledged before me
this day of 20 Ic`I by
The for oing instrument was acknowledged before me
this day of Se,0}2 Y. 2633 by
.Cyl1�O4Y .
uJ(Ak(Arirn ionditr
WillOArn Nanclier
Name of pers
n making statement.
Name of person making statement.
Personally Known
OR Produced Identification
Personally Known OR Produced Identification
Type of Identi
ication
Type of Identification
Produced
Produced
(S nature of Notary(S nature of Notary Publ'm"��i
Fi F
(Si nature of Notary Pujy of F. Ward
Commission No. =r',
x`00 M 510N # GG280629
Commission No. * x_ common # GG280629
FJ(PI �+ January 29, 2023
:, EXPIRES: January 29, 2023
,
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19