Loading...
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 Number: a 00 U— D id a RECEIVED Building Permit Application JUN 1 51079 Permitting St. Lucie Count. Commercial Residential X PERMITTYPE: New Construction Address: Property Tax ID#:_I'MI--ibIL-- 003Ot- ODD- Lot No. a� _ Site Plan Name: HU M S I I p rn P f Block No. S Project Name: Additional work to be performed under this permit— check all that apply: iviechanical _ Gas Tank _ Gas Piping _ Shutters A Windows/Doors f Electric �Plumbing _Sprinklers _Generator jK Roof Pitch Total Sq. Ft of Construction: L1 Oq 1 Sq. C71 Ft. of First Floor: ( Ua Cost of Construction: $ 5u A 00 Utilities: & Sewer _Septic Building Height: Name Adams Homes of Northwest Florida, Inc. Address:3000 Gulf Breeze Parkway City: Gulf Breeze State: Zip Code: 32563 Phone No.772-905-8394 E-Mail: pslpermits@adamshomes.cgm Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: William Bryan Adams Company: Adams Homes of Northwest Florida, Inc. 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 State or County License CRC1330146 I value of construction is S2500 or more. a RFCORDFn Nntira of .......:...a If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. r R` >(X Li4aGYf`A!R--x v-sr tK^�vse' t wt r�uiLY +;. �SUPPLEMEN@.T�ALE@ONSTR'UC�l� xa r}t 42•�4 �r++�'yq. 3e 4ss h J•`*r r ( e' r - DESIGNER/ENGINEER: _ Name: KeeseeAssodales Not Applicable MORTGAGE COMPANY: Name: _ Not Applicable Address: 945South Orange Blossom Trail Address: City: Apopka Zip:32703 Phone40]�50.2333 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 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." l �- Signature f-©wner/-Lessee/Contractor as Agent for Owner Signature of Con racfor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF saint Lucie COUNTY OF saint Lucm The fo oing instrument was acknowledged before me The for oing instrument was acknowledged before me this]�dayof rao .20Nby this�dayofYY1Ck 420,Oby 5y\I G 1'\J ftda yY\ S I_2)yV G Y�,J Ad G ME Name of person making statement. Names ofTn making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification TPrro�duced /f ^ . -nProduced lu,l'�l11kI0X r�S7ul�X0� ✓/Wtiwl� q � I�.IF Unr�L fiJ/T, 'e"Z (Signature of Notary lic- St(ayt o Florida) (Signature of Notary Publi tate o FI rida j �',P Commission No. VI O E I (?l3�Ia';,,, No. oli I ••., ROM:) DWGIii '• ACMMSOitsSi t x`��, NOWry?<Uiz-. kle of Florida """•• RICIAARO DRUG Commsiionk GG084021 �� y u3. xp eswr , `. e , Canmission REVIEWS FRONT ZONI ` k°"� VEGETATION SEATUR fi+� NdR'b�xpo- „,_9n' REVIEW COUNTER REVIE REVIEW REVIEW REVIE DATE RECEIVED DATE COMPLETED ev.