HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: !— Permit Number:
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Building Permit Application at 1.1 its
Planning
and Development Services Per 1wn Qe�v ept
Buildingand Code Regulation Division
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2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE: NEW CONSTRUCTION
RROP,OSED, IMP,,& EMENT
Address: 5353 SAN BENEDETTO PLACE
Property Tax ID #: 1311-701-0021-000-3
Site Plan Name: ADAMS HOMES
Proiect Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC.
DETAILED DESCRIPTION OF WORK:.r
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4 BEDROOMS / 2 BATHS / 2 CAR GARAGE
"CONSTRUCTION INFORMATION:
Lot No.14
Block No. 5
Additii nal work to be performed under this permit— check all that apply:
Mechanical Gas Tank _Gas Piping _Shutters ' Windows/Doors
Electric Plumbing _Sprinklers _Generator Roof Pitch
Total Sq. Ft of Construction: 2071
Cost of Construction: $ 244,900.00
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Sq. Ft. of First Floor: 1635
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. 772-905-8394
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.
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'so LEMENTAL CONSTRUCTION LIEN LAW;I FORMATION
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DESIGNER/ENGINEER: _ NotApplicableMORT`
AGE COMPANY: _ Not Applicable
N am e: FDS ENGINEERING ASSOCIATES
a m e:
Address: 249 MAITLAND AVENUE, SUITE 3000
Address:
City: ALTAMONTE SPRINGS State: FLORIDA
City: State:
Zip: 32701 Phone 321-972-0491
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."
Ignature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
CO U NTY O F SAINT LUCIE
COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged�efore me
The forgoing instrument was acknowledged before me
this 14 day of NOVEMBER 20 //_`iT by
this 14 day Of NOVEMBER 2613 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)
ignature of Notary Publi - �,p F /j-lkICIA ANN GRIFFIN
GG137624 e�, �'�htIC1A ANN GRIF
Commission NO.„: �'.o
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IN F '" ',-t MY MISSION # GG137624
mI5510n NO. GG137624'yd� 2021
= $
Y C MMISSION # GG13
a EXp aplember 26,
I EXPIRES September 26, 2
1 021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19