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Home My WebLink AboutBuilding Permit Applicationr All APPLICABLE INFO. MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: IIP� PermitNumber:�� Building. Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Aiunoo alon-I •ag auawyedaa 8ur4IuL9d 010Z 8 9 83J Residential X amm:)3B PERMITTYPE: NEW Construction I I.. VKU rGJ It UJ IV[ r till V t IV[ t IV -I LULAI IVIN: 1"„ ,, I Address: 8105 Property Tax ID #: 16 ( I - 900 - o I I to - 00c)-'3 Lot No. Site Plan Name: Adorns 140r"eS Block No. Z Project Name: ACIOMS �HOMeS OF Nor+hales+ Rof ida INC. (,DETAILED DESCRIPTIONDI' WORK: Additional work to be performed under this permit- check all that apply: X Mechanical _ Gas Tank _ Gas Piping _ Shutters i Windows/Doors Electric X Plumbing _Sprinklers _Generator %t Roof Pitch Total Sq. Ft of Construction: 2,JQ3 Sq. Ft. of First Floor: Cost of Construction: $ P9 11 9 6011 1 Utilities: X Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR. 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 $7,500 or more, a RECORDED Notice of Commencement is required. r i SUP,PLEMENTAI CORUCTION LIENIAWYINFORMATION NST •ro.�Y.rklr..u•,rrS•f;:iv^Fefifi'6s,-<s'A�•sa.'.rRarai"��-z s9s?:7,6a"?^,Mr<'+F1'? r .la� DESIGNER/ENGINEER: _ Not Applicable Name: Keesee Associates MORTGAGE COMPANY: Name: Not Applicable Address: 945 South orange Blossom Trail Address: City: Apopka State: FL Zip: 32703 Phone407- 80-2333 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: _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 build the -subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants thatmayrestrict 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 thafI will,,in all respects, perfdrm 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 usesRo'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 COMMENCEMENTS' • '' Srlfn�ature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/Licen"se Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SalntLucie COUNTY OF Saint Lude The forgoing instrument was acknowledged before me this o%1 day Fill> 20gn by The forgoing instrunWt was acknowledged before me day b of , this SU of .e 20'�by , Shl A'N �1"CLMIQ �IN c Usj f}dains Name of making statement. Name of person rTiaking statement. Personally Known K OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced A( M6'i9lftFr!® ry Public -St t t�-$,J9ri¢2��(CIA ANN ( of No ary Public -State of Florida I wt. PATRIC Commission No. eci3�s2a (S - MY COM aY,'• GRI ISSION # GG137624r' �MI13810N # GGt 13rs2a i;,. a• - EXPIRES TAfiti66i181PDY1c '.:3E;a 8SOpfember26, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED rtev. t/r/ly IM