HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FAR APPLICATION TO BE ACCEPTED -
Date: \°N\'z6-(b"S6a Permit Number: ``iNa-63so
• RECEIVED
Building Permit Applica ion DEC i 7 '�1s
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permltting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: NEW CONSTRUCTION - 5 T ?,
'PROPOSED IIVIPROVEME'NT LOCATfON
Address: 8301 CRISTELLE COURT
Property Tax ID #: 1311-700-0105-000-3
Site Plan Name: ADAMS HOMES
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC.
DETAILED DESCRIPTION OFWORK:
4 BEDROOMS / 2 BATHS / 2 CAR GARAGE MCA g9l 2 1 FYI
CONSUKT,ION, INFORMATION
:
Lot No. 1
Block No. 2
Addittii nal work to be performed under this permit —check all that apply:
✓ Mechanical Gas Tank _ Gas Piping _Shutters _f Windows/Doors
I/ Electric Zlumbing _ Sprinklers _ Generator V Roof Pitch
Total Sq. Ft of Construction: 2791
Cost of Construction: $ 294,900.00
Sq. Ft. of First Floor: 2151
Utilities: _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: _
Zip Code: 32563 Fax: 772-905-8511
Phone No.772-906-8394
City: GULF BREEZE State: FL
Zip Code: 32563 Fax: 772-905-8511
Phone No 772-905-8394
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.
rSURPLEMENTAC`CONSTR, CTIO,N'LIEN LAW INFORMFrTION�
DESIGNER/ENGINEER: _ Not Applicable
—
MORTGAGE COMPANY: Not Applicable
IN a m e: FDS ENGINEERING ASSOCIATES
_
Name:
Add resS: 249 MAITLAND AVENUE, SUITE 3000
Address:
City: ALTAMONTE SPRINGS State: FLORIDA
City: State:
Zip: 32701 Ph o In 321-972-04e1
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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."
t, �1
l
Signature o wn essee/Contractor as Agent for Owner
SI`gnature o�onfractor/License der
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFSAINTLUCIE
COUNTY OFSAINT LUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 14 day Of NOVEMBER 20_ by
this 14 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
Personally Known x OR Produced Identification
Type of Identification
Type of identification
Produced
Produced
(Signature of Notary Public- State of Florida
4 "✓' PATRICIA ANN GRW
Commission No. GG137624 '_°: �"4• 2�,I�MMISSION#GG73
'gnature of Notary Public- State of Florida )
IN
6gA mission NO. GG7376 4-'F'r •`tc.: PATRIT N GRIFFIN
�„'• EXPIRES September 26,
21 ,a- MY COM SSfON # GG137624
•n;�o:ria EXPIRES September 26. 2021
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DATE
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DATE
COMPLETED
ev. 2/7/19