HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE CG",;.A ETED FOR APPLICATION TO BE ACCEPT.,' I
Date: 6 " S Permit Number:
Eta 012-
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
ERECEIVED
Building Permit Applicatio20
rmitting
I
Commercial Residential X
PERMITTYPE: NEW CONSTRUCTION
PROPOSED IMPRQVEMENTLOCATION
Address: 5455 LUGO STREET
Property Tax ID #: 1311-700-0078-000-4
Site Plan Name: ADAMS HOMES
Proiect Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC.
ON OF�W DETAILEDDESGRIPTI0RK:y
4 BEDROOMS / 2 BATHS / 2 CAR GARAGE
CONSTRUCTION INFORMATION:,
Lot No.40
Block No. 1
Additional work to be performed under this permit —check all that apply:
�Cfpechanical _ Gas Tank _ Gas Piping _ Shutters • ✓Windows/Doors
/Electric _✓/Plumbingg _Sprinklers _Generator / Roof Pitch
Total Sq. Ft of Construction: 163 Sri Ft f First Floor:
Cost of Construction: $ 271,900.00
'Naa.. ,�
Utilities: V Sewer _Septic Building Height:
OWNER/LESSEE: -
CONTRACTOR
Name ADAMS HOMES OF NORTHWEST FLORIDA INC.
Name: WILLIAM BRYAN ADAMS- QUALIFIER
Address: 3000 GULF BREEZE PARKWAY
Company: ADAMS HOMES OF NORTHWEST FLORIDA INC.
Address: 3000.GULF BREEZE PARKWAY
City: GULF BREEZE State: —I
Zip, ode: 32563 - Fax: 772-905-8511
Phone N0.772-905-8394
City GULF BREEZE State: FL
Zip Code: 32563 Fax: 772-905-8511
Phone No 772-905-8394
E-Mail: PSLPERMITS@ADAMSHOMES.COM I
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.
c 1t-35' II.I.zN I17911l,46
u g34 48, 30 c/0y42, 2.0
23$56r1, (�b
SUPPL EMENTA'L`CONSTRUCT s.. L'I
N;LAW�INF
RMtiAf$d
DESIGNER/ENGINEER: _
Name: Fos ENGINEERING ASSOCIATES _
Not Applicable
MORTGAGE:CCIMPANY:
Name:
_ Not Applicable
Add reSS: 249 MAITLAND AVENUE, SUITE 3000
Address: '
City: ALTAMONTE SPRINGS
Zip: 32701 Phone 321-972-0491
State: FLORIDA
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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 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 P
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED ND
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."
as Agent for Owner
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
STATE OF FLORIDA
COUNTY OF SAINT LUCIE
Holder
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledge before me
this 15 day of NOVEMBER , 26 6 by this 15 day of NOVEMBER , 20 by
WILLIAM BRYAN ADAMS WILLIAM BRYAN ADAMS
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
(Signature of Notary Public- State of Florida
Commission No. AWN,
PATRICIA ANN GRIF
GG137624 F: PP��LL,,'OOMMISSION # G013EXPIRES September 28, 2
Personally Known x OR Produced Identification
Type of Identification
ignature of Notary Public- State of Florida I
N
.1 = '
'PATRICIp GRIFFINmmI5510nNO. GG13k"YCOMMI SION # GG137824
15_ � cve�oocc
REVIEWS
FRONT
COUNTER
PLANS
REVIEW
VEGETATION
REVIEW
MANGRO E
REVIEW
ZONING
REVIEW
SUPERVISOR
REVIEW
SEATURTLE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.