Loading...
HomeMy WebLinkAboutBuilding Permit Applicationr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: co, G:?'-'(,4qT Building Permit Appli 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 P - a.2-Al PERMITTYPE: New Construction PROPOSED IMPROyEMENT LOCATION: u 2 Q Address: 53lj I Span i n tli tt0 ? L 7 U Property Tax IDH: 1311- 10I-1r I00p,3- DDO'I Lot No. LP Site Plan Name: �/�I O m� I I U I { S Block No. 5 Project Name: MQmf Hb YYIi f of NDrt-hW.U� R Drldct . INC CONSTRUCTION'1NFORMAT,-iO:N: Additional work to be performed under this permit —check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters X Electric )(Plumbing _Sprinklers _Generator Total S Ft of Construction: ^ q. Iri y 09 Sq. Ft. of First Floor: Cost of Construction: $ _ _(q5 0. 9 D 0 Utilities: X—Sewer _Septic x Windows/Doors X Roof Pitch aD Building Height: OWNER/LESSEE ' -. -G©NTR;4CTOR: t,. AdamsHom. Name es 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.772-905-8394 Address:3000 Gulf Breeze Parkway City: Gulf BreezeState: FL Zip Code: 32563 Fax: 772-905-8511 Phone No772-905-8394 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. SUPPCEMENTAL,CONSTRUCTION LIEN LAW INFORMATION y,; DESIGNER/ENGINEER: Name: Keesee Associates _ Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: 945 South orange Blossom Trail Address' City: Apopka State: FL Zip:32703 Phone407-880-2333 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 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." igna ure of Owner /Contractoras Agent for Owner Signature of Contractor icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF saint Lucie COUNTY OF saint Lucie The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of MO YC Vi . 2090 by this day of MQ Vr In , 20_a0 by 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 (Sign ure of Notary Public-!t4 IprMTRICIA ANN GRIF FINE nature of Notary Public- State of Florida ) Commission No, cc�37sz4 ' MY COMMISSION # G01 �s� �RPIIZE9 Septembat26, 7624 i ..6+ab , PpTR� mission No. cci37sz4 ::'`•' `SBA IA ANN GRIF •�'c MY %°"'„•`� COMMISSION # GG137 •'�., orkC EXPIRES Se rn REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MA 0 COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.2/7/19