HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: CYO .04
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL.34982
Phone: (772) 462-1553 Fax: (772) 462-1578
-k;�m3
Building Permit Application RECEWED
FES p 3 2020
Permitting Department
Commercial Residential X sr.Lucie county
PERMITTYPE: New Construction
P.ROPOSFD,IMPROVEMENT LOCATION: I I I
Address:
Property Tax ID H: i 5 U" J 0 15 ' u u u-
Site Plan Name:Oda o f
Project Name: Jof0 1
CONSTRUCTION,'.INFORMATION: ,. ` °s � ° -
Additional work to be performed under this permit— check all that apply:
Mechanical _Gp's:Tank,'% Gas Piping _Shutters"
Electric Z( Plumbi g _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ Utilities: A Sewer _ Septic
Lot No._
Block No. i
�//
_'Windows/Doors `
X Roof Pitch
Building Height:
OW.NER�/LESSEE;`� °
,CbNTRACTOR:,
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 N0772-905-8394
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
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,SOO or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL,CONSTRUCTION�LIEN
-:x.. %. A ., .;'gi„3;t.a .¢ "„5 t ,;
LAW�INFORIV]A,
+a' 1ss a s6 sa[>•. a
f'i
.Y..^�i-,�. ti,.�E ¢,ll _•::' . m .. ..v u .
DESIGNER/ENGINEER: Not Applicable
Name: Keesee Associates
MORTGAGE COMPANY:
Name:
-X Not Applicable
Address: 945 South Ora ga Blossom Tmil
Address:
City: Apopka State: FL
Zip: 32703 Phone407-880-2333
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY:
Name:
X Not 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 County makes no representation that is granting a permit will authorize the permit•holder to bulld,the subject structure
which is in coNict with any applicable Home Owners Association rules, bylaws orand covenants that may restrict or -prohibit such
structure. Please consult with your Home Owners Association and review your deed for any, restriction's 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., i
The following building permit applications are exempt from undergoing a full concurrency review:.room additions,'
accessory structures, swimming pools; fences, .walls, signs,'screen eoonis andaccessory'us••es to another nohtr'esidential 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 NOT{CE'OF'COMAENCEMENT." `
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY'OF SafntLudf
COUNTY OF Saint Lucie
The fo'`�g-"oing instr ment was acknowledged before me
this �a�.2070 by
The fo going instryment was acknowledged before me
JUday QQVlUCLYV
�pdayof
this of r= 20201by
Name of person making statement.
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
�L
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- S
ax 1.7 ri RICIA ANN GRI
F•'''_
Commission No. cc137624
""•'°a','-
'. Mjr Q MISSION#GG13
a,.,atyet
o cc137624
;f PATRICIA
NN GRIFFIN
EkkPIR S September26,
REVIEWS
FRONT
ZONI t, 9f"`SUPERVMORc
qq gg tamber.2t
"
Fv1L
t EGETATION
SEA TURTLE
MANGROVE
COUNTER
REVI
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
I
lm k
DATE
COMPLETED
Kev. 2/ i/ 19