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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: r `�. 19 •w Permit Number: Lvt _* 0 10£ l RECEIV12tb Building Permit Applical ion FEB 19 2020 Planning and Development Services Building and Code Regulation Division 5T. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce. FL 34982 Phone: (772) 462-15.53 Fax: (772) 462-1578 Commercial Residential x PERMITTYPE: New Construction Address: SOS U,Ck'( 5tC)(N-C QiYd Property Tax ID #: e$ I I - _700 - O 1 3la- 00(0- 3 Lot No. a� Site Plan Name: Ad GmS hOM,eS� Block No. Project Name:-AZACtf'nS kofneC Of Nor*'We'St" FIa(�aa, Additional work to be performed under this permit- check all that apply: Mechanical —Gas Tank _ Gas Piping _ Shutters ,ZWin.dows/Doors i" Electric X Plumbing _ Sprinklers _ Generator �4 Roof Pitch Total Sq. Ft of Construction: ,3Q•d31Q Sq. Ft. of First Floor: A33 P, Cost of Construction: $ 36'L, 900 Utilities: X Sewer —Septic Building Height: Name Adams Homes of Northwest Florida, Inc. 3000 Gulf Breeze Parkway City: Gulf Breeze Zip Code: 32563 Phone No.772-905-8394 State: E-Mail: pslpermits@adamshomes.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name:William Bryan Adams Company: Adams Homes of Northwest Florida, Inc. 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 State or County License CRC1330146 of construction is $2500 or more, a RECORDED Notice of r.,� m..,..o..,e.,.:..,. It value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. �� ac a mn s �}i rSU�PPLE' ENTrAL�C�ONSTIRUC�TIONzLIEN=LAIN�INFORIVIAxTJON .'<+' '�'+k r< a K -wr.•,q, ' �L w 1 � t:� nw. w x n �„x;.�r..u'ax*� .� � 5"5s f r m B e ,�+ �. x t , Q¢er ' � ry ., �3 {'' �',��� �`§ � �r fi� � �� �' � 9G ��s� DESIGNER/ENGINEER: _Not Applicable Name: xeesaaAssadalea MORTGAGE -COMPANY: Nof�Applic'able Name: Address: 945 6aWh Orange Blossom Trail Address: City: Apopka State:FL Zip: 3x�oa Phone4m-eeaz333 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 Count 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." I 2 t e7 Igna ure of Owner JContrac[or as Agent for Owner Signature of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF saimwcie COUNTY OF saim�a�ia The for oing instrument was acknowledged before me �dayof �.Q..17 by The for oing instrument was acknowledged before me this�day of Feb this .20aV ,20�by 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 (Sign ure of Notary Public- t@ o#: � IprjFATRICIA ANN nature of Notary Public- State of Florida ) • �'c My COMMISSION it OGt Commission No. oeiaTez4 .,..,�;€:` SttPl}2ESSeptama©r2t3, 624 pA•TNIA ANPt GRIF lxtfi mission No. oo�srez4 r.;•'' ``p': IS ,?.��,,` -u •� MY COMMISSION #GG737 •'�lt'ovito� .EXPIRES Se to h i SEA TURTLE MANGR REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED