HomeMy WebLinkAboutBuilding Permit ApplicationCommercial
NOV 2.4'-"0320
er'Mittiny Depaftmellt
St. Lucie cauhty, i=L
Residential X
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Numb r:
w tax WDim
Building Permit Appli
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 TYPE: New Construction
Address: 00 u
Property Tax I D #:
Site Plan Name: _
Project Name:
Lot No. Z3 _
Block No. 15
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Additional work to be performedunder this permit —check all that apply:
Mechanical _ Gas Tank _Gas Piping —Shutters Windows/Doors
Electric Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: ?q 15 Sq. Ft. of First Floor: � U3
Cost of Construction: $ Utilities: x Sewer —Septic Building Height:
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
E-Mail: psipermits@adamshomes.com
Address:3000 Gulf Breeze Parkway
City: Gulf Breeze State: FL
Zip Code: 32563 Fax: 772-905-8511
Phone No 772-905-8394
E-Mail psipermits@adamshomes.com
Fill. in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License CRC1330146
IT value oT construction is �i25u0 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.
Q
DESIGNER/EN,GINEER: Not Applicable
N a m e.: Keesee Associates' d o
Address: 945 South Orange Blossom Trail'
City: Apopka State: FL
Zip: 32703 Phone 407.880.2333
F<EE,SIMPLE TITLE HOLDER:' _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
ate:
BONDING COMPANY: Not Applicable
Name:_
Address:
City:_
Zip:
Phone:
UwlvtK/ LUN I KAC [UK 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 con'icl ration 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-bu"ilding permit applications are exempt from,undergoing a full concurrencyreview: room additions,
accessory structures, swimming pools, fences, walls, signs, screenirooms 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 BEFORURECORDING YOUR, NOTICE OF COMMENCI=MENT."
Signature f OwnerJ-Lessee/Contractor as Agent for Owner Signature of Con ra for/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SalntLucie COUNTY OF Saint Lucie
The for oing instrument was acknowledged before me
this day of NN , 20L13by
BY G r\J ftdCk M s
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary P liic- StatA py Florida )
Commission No. VI O I
REVIEWS FRONT I ZONI
COUNTER REVII
DATE
RECEIVED
DATE
COMPLETED
The for oing instrumentw�s acknowledged before me
this � day of Nyy 20 Z0by
Iry Q tj � CMS
Name clperson making, statement.
Personally Known x. OR. Produced Identification
Type of Identification
Produced
NCHARDD0;JI T2
No!ary Pchiic tale of Florida
Comm:ssion k G 084821
VEGETATION I SEA TU
REVIEW REVIE
RICHARD DOUG
OHNSOP
—
tat
f Florida
Commission
G
84821
FRO Ij-0
s
r 20, 2021
qllhrouah
ion
olaryAssn.