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HomeMy WebLinkAboutBuilding Permit ApplicationAll 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 N Building Permit App PERMITTYPE: New Construction Address: %1 0 Commercial boy ©aV7 APR 16 2020 Permitting Department St. Lucie County, FL Residential X Property Tax IDfi: 13� 111-100- D0�Pq- 000- 0 LotNo._ Site Plan Name: MCA M S �tfi112 Mt S V�� Block No. ►LO Project Name: MSflpal eS of NorthyyJJ f F/D Vf c4a l %V c . C6NS.T.RUCT(ON�IINF.6 IMATION: Additional work to be performed under this permit —check all that apply: A Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors X Electric is Plumbing _Sprinklers _Generator X Roof Pitch Total Sq. Ft of Construction: � Ji " A lY D - I�� Sq. Ft. of First Floor: I S a o 1 Cost of Construction: $ � 0 . 9 DUtilities: I Sewer _ Septic Building Height: OWNER/LESSEE: CONTRACTOR: ; Name Adams Homes of Northwest Florida, Inc. Name: William Bryan Adams Address:3000 Gulf Breeze Parkway i 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 Breeze State: 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. xSUPPLEMENTAL CONSTRUCTION LIEN LAW��Xi�INFORMATION yj h m'� 6 ak �C`iK!YE�.32(a eA w'.i•3k Wd?a,"+5;,+�ih'v: 9WAR,: ..AA �f J%v.. DESIGNER/ENGINEER: _ Name: KeeseeMsoclates Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: 940 South Omnge Blossom Tmil Address: City: Aa°aka Zip: 32703 Phone407-880-2333 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 Count yy 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" as Agent for Owner STATE OF FLORIDA COUNTY OF Saint Lude The forgoing mstrum nt was acknowledged before me this da of % 20 O b Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced _ r (Signature of Notary Public -State of ' On.6,.- PATRICIA Commission No. GG137624 MY COMMIS EXPIRES St REVIEWS I FRONT I ZONING COUNTER REVIEW RECEIVED �iPAtstatub of STATE OF FLORIDA COUNTY OF Saint Lude The for ping instrument was acknowledged before me thisTdayof mart-)7 20j"by Name of person making statement. Personally Known x OR Produced Identification Type of Identification Produced ,`77 w f Notary Public- S .' I RICIA ANN GRI a.. No. Gc137624 3 M(6600MISSION N GGI EXPIRES September26, SUPERVISREVIEWOR I PLANS � REVIEW VREVIEWON SEA REVIEW TURTLE VEWLE I M EVIEWVE