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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J Date: 16\�d'1 Va,d Permit Number: • r - - - Building Permit Application OCT 2 7 2020 Planning and Development Services Building and Code Regulation Division ST. Lucie County, Permitting 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: New Construction - 5 �''T+'©.'x'i3Ar�'+xrsy'?• y-k�'•v..+s..�.Feure;r PROP®SFED�LM4P�,R®�VERIVIE�(VT�,L'� �A� �I�O°I� "����W�,.�' `�t� ,•w �- ' '� ��`��a ��" � `� ;" � 'yam `��tj�. 'Address: J. V u 'A\( I Property Tax ID #: B I I - 1 0. 0 0 ) I - U 0 ' 5 Lot No.. 33 Site Plan Name: A d G M S 110 m 1t t Block No. I Project Name: dams tip {M.l f D i N O Y.t I N j s t RO l/ I cl a, IV C _� x DETaAILED ES R� PTI lem ..... .2 E)qtV\yoomx, Z c a r q a rciJP i'Yf1��.1�'.Z�:'iY?,5 %1 )T ri�5f: •Sli�'±I;{�:i�-��'nl}Yrj.'t't1Y'NlS� ti'�f %�i1.4^.. �-�AE�',ip.- T� ,ft>f^?:t".wrA A :7• e"'•; wm... 4 i ..f •�` ^,.. ps : ; { :e .) > , n it "?S i .: c ! $ ,��Y'${* tlid •:`�-*t r. 7Fr���, i� c. �":,2'� � '•,�'�t,;, 4��%"Z" ,A,��3,` ri7;�.�'§H� '%.T-71+�7�Rf6 rx r��t�•�'�i Y+'�s'.?:' ICON,STRUCTIONI.N'FORMATI.®Nr:.y���... e'ia:!�:3".'.�+i✓.,!.Tx��An.3.,r5,,,'-"��L.._:��i„��Fi'#,a�i.",�;u3.�'r:.Asir'f�''?J.�ff#�$i44�e..�i%.�7dArV`_�,.L���`%�e?:z`S�iid,"'tarr.���'�.��z'7:�"�'fir.: �3i���+%U7:1+""�"��,Yn`9-h���jy����y'iC`k� �?� Additional work to be performed under this permit— check all that apply: Mechanical _ Gas Tank _ Gas Piping _ Shutters %t Windows/Doors Electric Plumbing_ Sprinklers _ Generator J—K Roof Pitch Total Sq. Ft of Construction: c/ ®�� Sq. Ft. of First Floor: Cost of Construction: $ - 2 g z 9 0 Utilities: X Sewer _Septic Building Height: F hk�+r f '� �. • W �' y'�.rav:;. �i i�Zen- OW�N,ER/L�ESSE�Es f�-,�° ,, �' -�� . , � • r� �x � ��". , ��s��µr• CONTRACTOR" ,.yg 4 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@adam.shomes.com Phone No 772-905-8394 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 value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. "-�"sfff_J.' ,.a � �"`3,111�,"r>.€`Se�° +v�w'4•Y�Rb�`d, :Y� Ie .:u'i `F,E+�"�N":,:�k." y'r - 4+�i °c. ;,.. }'& Y-`w�v,.' ,y'� 's.�1s�,?il�'� �eyri , `d�€'M '^t� t:�w" ? .t3�'.J'4,.,t9x��p �;�e + ,,n}- ' ' '°�y.F - n '-:�;>' 4•�s' h � .y ,{ . � 3i `" � � � d - ('?5) a � � l�� A � :Y .N.. ^' �a 5� ! .'�. .� # i . -r ' t`�e�.{n'"'t'%�A p`��a`�`a"��3w ���+�r„�,-'�, �.��t,_s`,'w;<fit`a`•��""ar�.�0'.m'�4�'i�»S�n"..-�'r.�e'k,r�-`�r-s�v��,i���`�>.4'-��,.-'�x'Nd�-�� r.�iv�'.h'�"*.':;���',�2Yu�e'�t$�<�7i"�s't�'��.+.�7a�'kC�rfi�., �hn�:{i �-'tkz7✓�p���'.Y�'k�'_,t�tu-it DESIGNER/ENGINEER: Not Applicable Name: Keesee Associates MORTGAGE COMPANY: _ Not Applicable Name: Ad d ress: 945 South Orange Blossom Trail Address: City: Apopka State: FL Zip: 32703 P h o n e 407-880-2333 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable 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 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: rooma.dd';tions, accessory. structures, swimming pools, fences; walls, signs, screen rooms add.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 " Signature f Owner/ Lessee/Contractor as Agent for Owner [:Si�gnakture of STATE OF FLORIDA COUNTY OF SaintLucie The for oing instrument was acknowledged before me this IT day of 0C t 20-6by STATE OF FLORIDA COUNTY OF SaintLucle /License Holder The forgoing instrument was acknowledged before me this day of 0C t , 207 0 by byy G ►'y -In da YY(S 1)rN Q t Ct ME Name ot person making statement. Nameo "person making statement. Personally Known x OR Produced Identification Type of Identification Produced RtCk )VQ�� (Signature of Notary P lic- Stoat o Florida ) Commission No. R.iC tAR D 00 tP Iqr •. whp'I a1' = Cornmssion REVIEWS I FRONT I ZONI COUNTER I REVII DATE RECEIVED COMPLETED Personally Known x OR Produced Identification Type of Identification Produced (Signature of Notary Publi tate of FI rida ) ,CamsONssi No. Florida ;•triY'Pr ,, RICHARDDOUG OHNSON ` — tat f Florida • : n 4 Commission G 84821 VEGETATION SEA TURy `li etNCI9'VEExpir s r2o,2oz1 �° `,`. Ih ough Na ian olary0.ssn. REVIEW REVIE14..� • "