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HomeMy WebLinkAboutBuilding Permit Applicationr All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED — Date:, �y��v� 2-7� i Permit Number: i� Oa/— -�� - Building Permit Application N*i 'ro- Po Planning and Development Services Building and Code Regulation Division 2300 Virginia: Avenue, Fort Pierce FL 34982 O Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _X116 PERMIT TYPE: New Construction Address: _DC' 0Ch Dr. Property Tax ID #f: 3u02. — (Ot79 -05a() + rqd ' I Lot No. /70 Site Plan Name:, Ada(OS #L Orn(5 S Block No. 0$ Project Name: F1damS Hbrnes of Northwest �dorida 11V6. d L41 Yt *ywf fd,)z ili: SvS`�fi j, fly DETAI Ep DESCRIP I©tiN1®F;W®RK 3a •h, +r..,,:,;�,�xx'E,_.zu In.,"-v..aWl i f"iy iH'y�erttgf`='+t�jV 'Yf64 M 'Y2Y2 Y+F•R ^'%L n TW 4, 4 ✓n �+ � 1 r tad t "' -LIME� -rp F. ,2.-1.a-.mac.. u '.z:ve R.r,e R:, *a�a •.. st..w,ri d.:�uaro4..E. nntk?+¢nD t,ik�ik'k' �4�droa►-nS 2 h,afh J �2�Car garaq� Additional work to be performed under this permit— check all that apply: XMechanical _ Gas Tank _ Gas Piping —Shutters _XWindows/Doors XElectric xPlumbing _Sprinklers _Generator Roof Pitch r Total Sq. Ft of Construction: 0�&:5 3J c))3 Sq. Ft. of First F Cost of Construction: $ 2150!8 , / 5j0 Utilities: er Septic Building Height: fti'k w,�. +tti bw ;.- Y F' °ar `'qf ? n 6na`, •'{ 1 h DOWNER/»ESSEE ti r� �r ;:. 4s� ,,.t;. �u.PhRNn,klx'niav&xs.v+,�aFr m.kb.15.C�.,.ortii"s.r.da0..4n.,ili„S!iO.�X`i.v(L.y4�w YG4 'xhg'=. i^ 3 ,� v "Y m*f -.ws ww.p t.T'e,._k pC®NTRA f Ykn'Ns`n:PJ�ip•`.W14;�51 Name: William Bryan Adams Name Adams Homes of Northwest Florida, Inc. Address:3000 Gulf Breeze Parkway Company: Adams Homes of Northwest Florida, Inc. City: Gulf Breeze State: _ Address:3000 Gulf Breeze Parkway Zip Code: 32563 Fax: City: Gulf Breeze State: FL Phone No.772-905-8394 Zip Code: 32563 Fax: 772-905-8511 E-Mail: pslpermits@adamshomes.com Phone N0772-905-8394 Fill in fee simple Title Holder on next page ( if different E-Mail pslpermits@adamshomes.com State or County License CRC1330146 from the Owner listed above) 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. V\b UPpLEIVIETrAL�;@OyNy STRl1CTION LIEN LAWNF�I�MA�T�IyONk; `alr.�i<A:�u $'1Ra`7ji.EvaxC�+',.+{ ^w.GYNhifr�N xl u��..1�'sG,'tf+' p.';Pa�e�k�.wk c-Y.F��✓�F�7; a�' � ,y���sf �; ���' �} � F k�Iw.�.�.G �3'Nei"�d.+A't.:tM.+:?i'st.f^,.ma�,.�'�k�v'�,. tl DESIGNER/ENGINEER: _ Not Applicable Name: KeeseeA soclales MORTGAGE COMPANY: Name- _ Not Applicable Address: 945 South orange Blossom Tail Address: _ City: Apopka State: FL Zip:32703 Phone407-880-2333 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: 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 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." - 2-I1- Signa ure of Owner /Contractor as Agent for Owner Signature of Contractor License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SalnlLude COUNTY OF Salnitude The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this 1 I day of F-A b 20 aD by this 11 day of F,� b 20.1_0by 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 (Signs ure of Notary Public- tq $.? 4IprMATRICIA ANN nature of Notary Public- State of Florida ) Commission No. GG13]624 - MY COMMISSION GG127624 &PlkeS Septomtor 26. �� '-".+, oFt, = 028mission No. GGisr624 a.?? pL.•,`t P/t�lA ANN GRIFF r:;' �+ ,(N 'vc MY COM ISSION # GG137f EXPIRES Se to b REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MA GR COUNTER REVIEW EVIEW REVIEW REVIEW REVIEW _REVIEW DATE RECEIVED DATE COMPLETED nev. yrl i7 aor�a-o33$ All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 10 ?� Date: Permit Number: "`�©�^ O ✓3 c� e � . \0 • _ Building Permit Application 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 Residel4a PERMIT TYPE: New Construction PROPOSED IMPRQVENIEN r WcATION ,• ;. ,' ., fM, „ 1bi .... rc h o r ude county, Permitting Address: 2' I V p (� ' I Property Tax ID #: 34 0 a - UDR- 069 6 - O O O ' `-I Lot No.�_ Site Plan Name: �q _ Block No. �l Project Name: G M S ftO M't s b f 1 V 0 rJJ8 W QtS t F C IY\3 C CONSTRUCTION" INFORMATION: Additional work to be performed under this permit- check all that apply: Mechanical _Gas Tank ' Gas Piping _Shutters' �/!� WinclbLA/Doors ' 'jElectric Z(Plumbing _Sprinklers _Generator nn XRoof Pitch Total Sq. Ft of Construction: .S � Sq. Ft. of First Floor: d��1 � Cost of Construction: $ 5�. 00 Utilities: -Sewer A Septic Building Height: OWNER/LESSEE: CONTRACTOR: 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.772-905-8394_ 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. SUPPLE'ENTALC���OpIUSTpRUCTION M T JI 1 LIEN"L°AVI/ INFORM • - [ ., i1Y�..A:" id s`�M.Ri'kWy:G:F1�:1i.v', 'W:'A "kg{ Ye '. z hry,4+ t $. TION �` "` z ¢Wn19 • ^'Pi 6"' V "." ''' A k ,�• � � r'�'i^+r41,=t .� a DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Keesee Associates Name: Address: gas South orange Blossom Tmll Address: City: Apopka State: FL City: State: Zip:327e3 Phonea07-e80-2333 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: 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'festrict onprohibit such structure. Please consult with your Home Owners Association and review your deed for any, restrictions'whlch,riTay apply. In consideration of the granting of this requested permit, I:do hereby agree that.l 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 anotherinori-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 Y•OUR.LEND&R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.' •• Signature of Owner/ Lessee/Contractor as Agent for Owner Signa for/License older STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Lucie COUNTY OF Saint Lucie The forgotng instrument was cknowledg d before me mgrc. The forgoing instrument was acknowledged before me -Ch thisodayof ,20��by this�dayof 1'n0L .20o.QDby Name of person making statement.., Name of person making statement. Personally I' wn x 0 rec uced Identification Personally Known x• - : OR Produced Identification Type of tification Type of Identification' Pr d Produced (Signature of Notary Public -Skate of Florida) (Signature of Notary Publio- S aLa�4 ' �, ;y• ec,,: PA RICIAANNGRI Commission No. cc137624 """°•' PA RICIAANNG •'`Fs fission No. cc13162a IFFIN?..•e' -�; '' M(IS®®MISSION # GG13 .,q.� o;' EXPIRES September28, My COMMISSION #GG 2 ENT IRES September 2 , 2021 REVIEWS FRONT zfS'NING SUPERVISOR PLA S VEGETATION SEATURTLE MANGROVE COUNTER W REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.