HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (1 /�
Date: 'tom— Permit Number:[ io- I' 6(D
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-- SCANNED Vt(/ RECEIVED
- ° St. Lucie ount SEP 3 U 1019
I�� ui ing Permit Applica+�gib..��.:.l,
"S"�riu9 Department
Planning an Development Services Lucie County
Building an Code Regulation Division
2300 Virgin Avenue, Fort Pierce FL 34982
Phone: (77 ) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT
PE: Building
PROPOSED
IMPROVEMENT LOCATION:
Address: %T?mot �Y)-i- Tim OrlUe-,
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PropertyTax'lD#:���-1 %oi'�0�'(�u Lot No.2JJ -:�s
Site Plan Name: Block No.
Project Name:
DETAILE - :DESCRIPTION' OF WORK:
Construct Si igle Family Residence
Bedrooms: -2� Bathrooms: Garage: Z
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
LMech nical _Gas Tank _Gas Piping _Shutters Windows/Doors
ZElectr c Plumbing ✓Sprinklers _ Generator ✓ Roof Pitch
Total Sq. Ftof Construction: ?)Lo94 Sq. Ft. of First Floor: a0ca q
Cost of Construction: $ 100,000 Utilities:t/ Sewer _Septic Building Height:
OWNER/
ESSEE
CONTRACTOR:.
NameGR
Address: 5
City: Port St.
Zip Code:
Phone No.772-873-1711
E-Mail:Permitting@ghohomes.com
Fill in fees
from the
K GHO Meadowood LLC
Name: William Handler
0 NW Mercantile Place
Company:GRBK GHO Homes LLC
Lucie State:
34986 Fax:561-688-0909
Address:590 NW Mercantile Place
City: Port St. Lucie State: FI
Zip Code:349S6 Fax:561-688-0909
Phone NoT72-873-1711
mple Title Holder on next page( if different
wrier listed above)
E-Mail Permitting@ghohomes.com
State or County LicenseCBC051145
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of H AC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION'L'IEMLAW INFORMATION:
Address: 11lim sw gem s!
City: PodSL as State: F1
Zip: U997 Phones6i4n-8976
FEE SIMPLE TITLE HOLDER: ✓ Not Applicable
MORTGAGE COMPANY: Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Applicable
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.
St. Lucie Countyy makes no representation that is granting a ppermit will authorize the permit holder to build the subject structure
which is In cahtlictwith any applicable Home Owners Assoc rules, bylaws or antl 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 accordancewith 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 strL ctures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"YARNING 0 OWN R: YOUR FAILURE TO RECORD A NOTICE OF COMMENC ENT MAY RESULT IN YOUR PAYING
TWICE FOR IMP OYEMENTS TO YOUR PROPERTY. A NOTICE OF COM ENCEMENT 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 NnT1C79 OF COMMENCEMENT."
Signature ofOw / ntractar as Agent for Owner
Sign ontra License Holder
STATE OF (FLORID
STATE OF F RI
COUNTY'OFst w=ia
COUNTY wore
The forgoing instrument was acknowledgepefore me
this �Tdav of 20- by
The forgoing instrume t was acknowledged before me
t h 1 s �TQjay of 20 by
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kIJIVVr,�rY1 Hclnc�ler
WriliQYm onndicr
Name of pei
son making statement.
Name of person making statement.
Personally Kriown
1/1" OR Produced Identification
Personally Known V--*`CR Produced Identification
Type of Identification
Type of Identification
P
Produ
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Commission No. Ts9;pre::
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIE
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
Z
DATE
COMPLETE
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