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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 Date: �'� —1r�1 Permit Number: YJ *'" 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 Residential X PERMIT TYPE: New Construction .t7?'fmF4Y i/'yi.& '9�iGf4C'1-1PSi1 G.J-,P yy Y' ... 1 a../r.Rdsfii +4= 151r:, l J..-5, 2.. f� PROP r S°E�DIMPR �b UEMENTC�TI®N ��' '. �a x $�y yN e7ipY�. Address: �ZO JC.. Property Tax ID #: Lot No. Site Plan Name: U Block No. Project Name: p © p� S 'Y..�p ..1f. r 3' ': YY t { ,* . .11�T{` C..^ 2i,C'f`. "J`+ 2 r .Jy ii {,�iu 5.�,S CtliG.j (. h't(.I�'s�-��G Nk. jC racy. ¢xSF^M"1X^.?ify'�C...✓i�t, bhr' i.'!l.. ."t.;;4. fCONSTRUCTI.ONk�I(ViFORM)ATIO'N:���� 2;<�,����,. ,,� � Fr.��,.:���a��� ,_� ,,,�,�_,> �,�.�,_.. �,P.>•, �,�.J�,fv�..n..,u� ^;k,. nr # r•� �, �iL�kt3.$spa.u.,;�:aSYr"cs:a:s��.t�:�*>�ts�io^��'�5'��3.i4'f�`��;�i��•�,�1���'r�rr �r'' �,,�y �" � �r`�3 `i krz'i . •� a�£l��d"F�t�i�x�,<C �"w� ��Fa a.r+;���as;�.P`•�P.i.`�,= '^ r,:'t`kr?7�".:;�:r:'-t�tc.l Additional work to be performed under this permit— check all that apply:' Mechanical _ Gas Tank • _ Gas Piping Shutters " `%� Windows/Doors' _ Electric I Plumbing _ Sprinklers _ Generator _L`_ Roof Pitch Total Sq. Ft of Construction: 300,0 Sq. Ft. of First Floor: 2. 2 S I Cost of Construction: $ 32'�') ty Utilities: X Sewer _ Septic Building Height: �. i s , }NER/LESSE;E. �; �.�,��. �,�� � ;��, �;�, , s•;r., �� ., i;ON�TR�gd,„; $����,r� h ��t, �-��:�3==g��t,��t �{r� ;��rR T.�»���,%tad:`��rhr��:5:;rst�±��sx�tc'tck,�"'�°ia`�:h°+�.;e�tr ���•.��[ri...N�°sfr+ i.Htr i"%xa:n. m��n:.,� '�.". 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 value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. �4� tok'...,' -. 'gy .Nt�7' �1^i7, �.�.. .h�Y ;U,�W i. .-'�4 CONSfTRIJCTI�NI.I,ENw�l1/4fIN�F�®RM`�TI®�.at �'r:See..sr 'i3dKd. r.�7K�YS.+�.., :.,:u.� aY`k �L�L:<r:d e :�Sr:>� k�.i.55�.c),•.+.�? 1f'arr�!-a0.. 11 ?1Y yi1a� "Y ]71 3'�fk 2rg"'4Y+�u�yM '�',y;", t'Y. .' -• VC �4K.� 'L'nR.� 4 ..; F r Mt tIS (E,VT 7'.ii-x_ft^h.,.ud..f!.r'�..t1�'?� '=�7,.Sw��iciY'��x�i +4t>. . rAibh.1�'G�/J:��. DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Keesee Associates Name: Address: 945 South Orange Blossom Trail Address: City: State: City: Apopka State: FL Zip: 32703 Ph one407.880-2333 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 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, ih 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 no'n-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 of Con ra t-or/License Holder Signature Owter/ Lessee/Co tract r ag Agent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Saint Lucie COUNTY OF Saintl_uoie The forgoing instrument was acknowledged before me The for oing instr ment was acknowledged before me Z- this —ZAay of c ��in 20 J by this, day of 20 0711 by r� G iN -Rd a Yrn S F) ry CA VQ V7' Ld Ct ME Name o p rson making statement. Name ot petson•making statement. Personally Known x OR Produced Identification Personally Known x OltProduced Identification Type of Identification Type of Identi{f�ication Produced 1�°�'L! Produced (Signature of Notary P liic- St�a/t o Florida) (Signature of Notary Publi tate o FI rida ) No. O u I Commission O (Sepia',',;'; RiCHARDDQUG fQFi Mlil$Si No. Notari R.,t is -1 r .. h , a • : waim;ssion k lale of Florida ^' '•, t , 4 azv P,�..RIC HARD DOUG G 084821 : o y l omm. cxpi esMar ar , s • ; commission REVIEWS FRONT ZONI r.. i N!lonal r VEGETATION SEATUR V- 'NC�'i$�9"V'EExpir COUNTER REVIE REVIEW REVIEW REVIEW REVIE luouahNa DATE RECEIVED DATE COMPLETED ev. Florida is NJr 20, 2021