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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0 All APPLIIC}ABLE�I INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ant Date: —\ Ilo, 1 • �_ Permit Number: 1 1 � O (0� SCANNED �- BY © St. Lucie County PECEIM - - - - Building Permit Applicat on Planning and Development Services SEP 2 7 2019 Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34981 Phone: (77�) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT PE: Building ' PROPOSPD IMPROVEMENT LOCATION: Address: 2 (Q J` t /CII cn1 )Fcy Zr ly-t3f Property Tax, ID #: 1 �J?J"t --Sou -CO2 Zi - Cam - & Lot No. �D-I Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION'OF WORK: Cnnc}n irf Cinnlc Family Racirlanrp - - - - Bedrooms: -5 Bathrooms: Z Garage: Z a:1 CONSTRUCTION' INFORMATION:. Arirlitinnalwnrktohpnarrnrmprl unrlprthisnarmit—rhar Zl�fabfhnt:iinly Mechanical _Gas Tank Gas Pim _ p~g r = _ Shut s ._ ✓Windows/Doors j[Electric -Olurnbing ;* O-SArinklers _ Generator Roof Pitch Total Sq. Ft of Construction: 250-5 Sq. Ft. of First Floor: 26�EI Cost of Construction: $ 100,000 Utilities;;/ Sewer Septic Building Height: i 1 `H c .rr _•. 's OWNER/LESSEE ` - : , CONTRAq, - - NameGRK GHO Meadowood LLC w ° ame: William Handler• -, Address:590 NW Mercantlle`P,Iace ompany:GRBK GHO Homes LLC City: Port $t. Lucie ' State. Zip Code: j 4986 Fax:561-686-0909 Phone No.772-873-1711 .i ddre'ss:590 NW Mercantile Place pity. Port St. Lucie State: FI Zip Cole:34986 Fax:561-688-0909 ot% Non2-873-1711 E-Mail: Permitting@ghohomes.com Fill in fee simple Title Holder on next page (if different from the Owner listed above) EWT 1,.Permitting@ghohomes.com State o CQPnty LicenseCBC051145 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 Name: Nudle Engineering Name: Address:»egasiva --s, Address: City: Pmstcude State: F1 City: State: _ Zip: U991 PhoneK1429'8975 Zip: Phone: I FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable City: Zip:. Address: City: 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. 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 ano 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 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 stri. lures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use "WARNING TO OWN R: YOUR FAILURE TO RECORD A NOTICE OF COMMENC"ENT MAY RESULT IN YOUR PAYING TWICE FOR IMP OVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTEDI ON TH JOB SRE BEFORE THE FIRST INSPECTION. IF YOU INTFND TO OBTAIN FINANCING, CONSULT WITH YOUR LEN ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature o Ow / ntractor as Agent for Owner Sign ontract License Holder STATE OF FLORID STATE OF F RI COUNTY OFst Leese COUNTY Lucia The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me ] this ` g day of w1iiL17_Y . 20 119 by this A day of 5e n1p2r dWY� , 2019 by ���11tarn Rundler LAA11lCAm Hnn&icr Name of person making statement. Name of person making statement. Personally K own OR Produced Identification Personally Known ✓ OR Produced Identification Type of Ider ification Type of Identification Produced Produced �i.CYCe e� ( ignature of Notary Publ(rdatf FI B Wart �v11``KC ( gnature of Notary Pua11tII� a of Ipt aY' vlM' �cu�CCccION # GG28061, Commission: No. a C1�,°. ��N�. Commission No 6� • '__ COYMM(SS�N iR GG2806129 EXPIRES: January 29, 202 _ .� EXPIRES: January 29, 2023 ��wrided Nn�„ Infu Aaron Notary REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE pp�� /LJ I COMPLETE Rev. L/!/19