HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETE6irck APPLICATION YO BE ACCEPTED
Date:1a+`\� 1 \1' Permit Number. yc\\ a.0355
Building Permit Ap
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
17 2019
ST. Lucie County, Permitting
Residential X
PERMITTYPE: NEW CONSTRUCTION -SVR J
Address: 5404 LUGO STREET
Property Tax ID #: 1311-700-0052-000-6
Site Plan Name: ADAMS HOMES 11 i
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC.
4 BEDROOMS / 2 BATHS 12 CAR GARAGE
Additignal work to be performed under this permit— check all that apply:
MMechanical Gas Tank _Gas Piping _Shutters
/
V Electric V Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: 2271 �^
Cost of Construction: e'_2 ; 0"o ;i D t�� -w
Sq. Ft. of First Floor: 1635
Lot No.14 II
Block No. 1 a
`/ Windows/Doors
V"Roof Pitch
Utilities: _Sewer _Septic Building Height:
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£:.'�rv-}-?-H
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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
It value of construction is $2500 or more, a RECORDED Notice of Commencementis required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
IOrNIiVItNFRTi®
$"zb
DESIGNER/ENGINEER: _
Name: Fos ENGINEERING ASSOCIATES-
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: 249 MAITLAND AVENUE, SUITE 3000
Address:
City: ALTAMONTE SPRINGS
Zip:32701 Phone321-972-04e1
State: FLORIDA
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Name:
Not Applicable
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 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."
Signature der/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF sA1Nr LUCIE .
COUNTY OF SAINT 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 , 20b
_ y
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
ubyv Tate Nfe*ANN GRIFFIN
(Signature off Notary
ICV! e
SrR & A ANN GRIFFIN
Commission No. GG73
g' '= MY COMMISSION # GG137624
8Z .; ( all
XPIRES SRAmber26,2021
Commission No. GG13762
:'+°•'
•': MY CO fN # GG137624
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•;o•;, EXPIRE Sep ember 26, 2021
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