HomeMy WebLinkAboutBuilding Permit Application5
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Nu
Building Permit Appl
PERMITTYPE: New Construction
Address:
Commercial
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Permitting Department
St. Lucie County, FL
Residential X
Property Tax ID H:ytl 3_1 I- 10 O- O I a q- D � 0' p Lot No. .0
Site Plan Name: �pA d U nu H lim � S Block No.
Project Name: Rdaws H0MfS bF NDrthV\JAS IOviCQ, INC
DETAILED DESCRIPTION OF WORK:
u 81c4rooms' ,I Rrithroor0s, a CGV Clay;
a 611
CO.NSTRUCT.ION INFORMATION: `
Additional work to be performed under this permit -check all that apply:
!� Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors
Electric Plumbing _ Sprinklers _ Generator X Roof Pitch
Total Sq. Ft of Construction: 313 I-7 Sq. Ft. of First Floor: i) a1-I
Cost of Construction: $ 311 1151 Utilities: bewer Septic Building Height:
OWNER/L'ESSEE
CONTRACTOR a ;
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.772-965-8394
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.
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DESIGNER/ENGINEER: _
Name: Keeseemsociates
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address: 945 South Orange Blossom Troll
Address:
City: Apopka
Zip: 32703 Ph Gne407.880.2333
State: FL
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
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEM
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO
as Agent for Owner
STATE OF FLORIDA
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
this_dayof MCI rC h .209-11) by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
5
(Signature:ofNotary Public- State of Florida )
STATE OF FLORIDA
COUNTY OF Salni ante
MAY RESULT IN YOUR PAYING
ENT MUST BE RECORDED AND
OBTAIN FINANCING, CONSULT
Holder
The forgoing instrument was acknowledged before me
this -day of MOtrr V) .200 by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida
Commission No. cct37sz4 „�.:6H e*ATRICIA ANN FL!`�r�� ion No. OG1376 4 „x
;g: �rPATRI N GRIFFIN
MY COMMISSION # G137624 _ �= MY COMMISSION # GGt37624
w'•• °! "%?o.e „•` EXPIRES Sep ember 26, 2021
REVIEWS FRONT VEGETAT URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
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