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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /► Date: Permit Number: ZOO-: 0 J 5 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 C`vlC'Q'o ! Building Permit Applicat Commercial FEB 19 2020 ST. Lucie County, PERMIT TYPE: New Construction I Address: 5HS, UQQ0 51-. PropertyTax ID q: ICJ 1) — -160 — 001 G— 00 O') Lot No. 41 Site Plan Name: A C1 ci(yr S Mil S Block No. ) Project Name: Additional work to be performed under this permit— check all that apply: Mechanical _GasTahk _Gas Piping _Shutters %� Windows/Doors X Electric ZC Plumbing pper�'' _ Sprinklers _ Generator 7x Roof Pitch Total Sq. Ft of Construction: 4WAr-%llgld�Jr Sq. Ft. of First Floor: I I B O Cost of Construction: $ '2-1 t40 q DU Utilities: Y Sewer _Septic Building Height: ' i 4.3 F+rtS{:ri7;77ti( �OWjNER/LESSEE K,+a_ s+ _,..:,r, ., r,n 3C©NTRACTOOR t c«:r E a,--uws:»�;....r.�'•_�a-aa.,7c��..a,..,,, .�wlw•,,.M„_....ez,_ Name Adams Homes of Northwest Florida, Inc. Name: William Bryan Adams Address:3000 Gulf Breeze Parkway Company: Adams Homes of Northwest Florida, Inc. City: Gulf Breeze State: _ Zip Code: 32563 Fax: Phone No.772-905-8394 Address:3000 Gulf Breeze Parkway City: Gulf Breeze State: FL Zip Code: 32563 Fax: 772-905-8511 Phone No772-905-8394 E-Mail: pslpermits@adamshomes.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail pslpermits@adamshomes.com State or County License CRC1330146 11 venue ui consvucuon is>zsuu,or more, a ntcunutu Notice of commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. '6'✓Ffi Yn HN"?Wy'1 Ai"i Sil /t -hc•{--ei.']k(�p4�+MiY'��r u4iF f"WYS-I/'M4E SUPPLE'MENTsAL CONSTRUCTf01V LIEN d 9Rfl'Y^9PM' LAWANa )#;t.3�'.ii k9 'ST' X *']dW. N""€K )"et^. VJ^VN Q44 14i*F al "( i N RMA3 t N v c � r ? ") n''ii"` R DESIGNER/ENGINEER: Not Applicable Name: KeeseeAssoolates MORTGAGE COMPANY: _ Not Applicable Name: Address: 84s sooty orange Blossom tta8 Address: City: Apopka State: FL Zip: 32703, Phone40M80-2333 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _Not Applicable Name: 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 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 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 TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ' Signa ure of Owner /Contractor as Agent for Owner Signature of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Samuaae COUNTY OF Saint Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this11 day of FEB .zoao by this%-1_dayof FER ,20JD by Name of person making statement. , I Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced (Sign ure of Notary Public- t@ 0 lorMA7RICIA ANN GRI FFj nature of Notary Public- State of Florida ) Commission No. ec137624 MY COMMISSION # GG127624 ;j , `,. C&PNES Septembor26, 0M �q,4 OG137624 r a mission No. `°" Fk; P(S IA ANN GRIFFI My COMMISSION # GG137f 1.4W EXPIRES September REVIEWS FRONT ZONING SUPERVISOR PLANS t VEGETATION SEATURTLE MANGO COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev. t/i/ty