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HomeMy WebLinkAboutBuilding permit ApplicationAll -APPLICABLE INFO MUST BE COMPLETED.FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ©% �`� 0 .+ J Fir ftf G`''w"i ✓`�7e r .xmvSPsaa::•'H (r1 f?.�.,d +^,:': ' ` 4i ! 4 P )II's�. ui,�.r ;i!w` Building Permit Appli ation OCT 0� NZO Planning and Development Services rtrfl�'Clt Building and Code Regulation Division ��c n—niitti(� ij M �''V 2300 Virginia Avenue, Fort Pierce FL 34982 1y. �9 y ^? i—.0la Pity ` L Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial es�.de.rl.tlal— --- PERMIT TYPE: New Construction `r»' g7e e:+� 3:`»�...ra.�r a�lxpxr�=1='ir-sva;eu mw�xcr ^^s•z�d,'• a•, y Msah.v .�: Ay;,I.«-<,�.,... r,tiYAtb"+•�.r'Svw�-�-is�u� �D+Nr..x�.:�. ht�tSx+J,V�'xCt:.s¢f.YX ��i�YLH���m. f���J�k'fr.�l �t�t a�•i�. �..r��,.5*'��1V���Po�Li:de����'g Site Plan Name: .Q f Block No. 2 TT�� ��Iy�1// yy� Project Name: IA�G VI I S �U �i -U 0r *N t Ron � , i c`�� liL ',?„�%''e�`Ci'�7fa. ��,v�� �`w�J�`�r''�5i� �.Y�, ��,�r.�,�i,{'a��l'a"��:>r �;�R� � � � � `":��k ;. .� '��T "";��> k., �'2'�, r< r r 4' Pjy, Y�• �d, �OJ"v=. :f'„'r�`8(y) �4.���±:4'TAJiVitn��r�?��.�Y:'U'cfi�y`�:,.'aKAZ:�.>+f��a'`��.'a�p�'...Sr�C� `kflxS�l��.l s�4 �h39���J���ttlSF',1;: _ �T�+i2G���kl'�����A��a��'.A'A��t���`d`✓F �1 F�� Ct Y o o YY1 S q th r o nn S. Z -C Q r q Ck r c t 1�;,v s^-' �-.r�`r,`��' �v�� '� �#` 'H�- ,�?:S �?^ �sR,�,Y�.��'� ,�,,.��„�,� rar:�,��� 4 a.•�,nr 'r;,,u'rn; b•C.ONS�TR°U`CTI.ON:� '; � � 4 � �.� ;. �� ,yf..f � � :s� ,� a�� �. x�� , � � �:,�. ,'�;� a {{,.. , ��h Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank _ Gas'Piping A Windows/Doors —Shutters Electric Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction:3 31 Sq. Ft. of First Floor: ZZ 11 Cost of Construction: $ _ 3I — p 19 o Utilities: % Sewer _Septic Building Height: �'�i''� x"d�"�`�FWSA•-°/�mY �:d9"„�' t ^: m'� r��'.+tiPY � Fs�• +i � '.' v.��.� u�,::.,.,�„ ire "F�i9.vas � ;6p .' y ysEr�•. ¢et-� ; 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: _ 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 No772-905-8394 Fill in fee simple Title'Holder on next page ( if different E-Mail Pslpermits@adamshomes.com from the Owner listed above) State or County License CRC1330146 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If valu 7,500 or more, a RECORDED Notice of Commencement is required. �5y� 19 �.±�3r3u.'�?1✓V'�n �''L' :4�`p-x �ckr N6+�' ��`2r ��'k'�a G�`�'Y7r^yNstn'.�d�.tl�?�7u�"FivkS�il�"kC.SYsF,I�Y,"�,J�¢ � 't� v, .:t` �2_ �'�`C ,�.�N\'G"+�; a�tiy't:''!o;,`G .. ��++��',,�� ,�c�`� #r `�F ..�+iy ta.r �,,,,, "".. ;;�^ '�,;i + Y ..;s7.3': � gw�✓- �1 . b +?'t�`� qst �- �� t��r ,1 • 3 r� �7�`s� F:�d�'Lfif.'xr:.. ""3sn. 'nu".s.��e..vFiti4-r�=ru:eSi:tT6...�'•'aCr<°s�'„ �c�vU�s�w�`�..,n�:i4�ea•<-.''s'L"iG 7�'�.i�,.:Y,�:x_..rR,r,��C..�.an'Af..xSr�'�Y�i�.'�.tfi.�dt�.,.�•%..&����?£ DESIGNER/ENGINEER: _ Not Applicable Name: Keesee Associates MORTGAGE COMPANY: Name: Address: _ Not Applicable Address: 945 South Orange Blossom Trail City: Apopka State: FL Zip:32703 P h o n e 407-880-2333 City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Name: Not Applicable Address: City: Address: 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." Holder Signature C+wner/ Lessee/Contractor as Agent for Owner Signature of Con ra t-or/License STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SairltLucie COUNTY OF SaintLucie The for oing instrum nt was acknowledged before me this _ day of �, 20jXby The for oing instrument was acknowledged before me this day of r 7 20 ZD by 5Y� G f\J -RdCA YY� S l YN CA i V-1y-CA, Ct MS Name o person making statement. Name o person making statement. Personally Known x OR Produced Identification Personally Known x -OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of Notary P liic- Stat o Florida) (Signature of Notary Publi tate o FI rida ) Commission No. O u I (56 (�;;,. No. 1 VI KiCHAl2DD000 CJON gM*Si NwaryP:;,bi 111le of Florida ;a'p;• RICNARDDOUG ��t u' •• CoNLrrssion G 084821 = • �Of'lij4 d? My COMM. UP! N es 1 ar 20, IiOfldl 1 _' " •n i tl n ; • s Commission REVIEWS FRONT ZONI r' II VEGETATION SEATUR 1r,^9�� N GROWN" COUNTER REVIE REVIEW REVIEW REVIEW REVIE 1„ INaughNa DATE RECEIVED DATE COMPLETED Rev. 2/7/19 Florida !s 44r 20, 2021