HomeMy WebLinkAboutBuilding Permit Application^
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a ZSA Permit Number: ale
Building Permit Applica
C:
Lion
Planning and Development Services FEB 12 202o
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie C
ty
rity, Perrn'ltt�ing
PERMIT TYPE: New Construction
Address: B15(0
-Site Plan Name:.,._AdQq0G5 Roy-y\e-
Block No.
Additional work to be performed under this permit— check all that apply:
Mechanical Gas'Tank' Gas Piping
Electric Plumbing Sprinklers — Generator A Roof Pitch
Total Sq. Ft of Construction: 2L Ocl Sq. Ft. of First 'Floor: /92-0
-Cost of Construction: $ -Z-77, 13 0 C) 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: 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
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 CRC1 330146
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.
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DESIGNER/ENGINEER: _Not Applicable
MORTGAGE COMPANY: _ Not�Applicable
Name; KeeseeAssociates
Name.:
Address:9453outnorangeB�oeeoml7au
Address:
City: Apopka State: FL
City: State:
Zip: 32703 Phone407-880-2333
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, 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.nori'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 " OUR.NOTICE OF COMMENCEMENT."-
( _ 211 1 Zi
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Saint Lucie
The forgoing instrumen(�t was acknowledged before me
this � day of RimlA4'1-Q , 20% by
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced K 111 MY)
(Signature of Notary Public- State of Florida )
Commission No. -10 [s 'w
L% Notary Public Sorb
Hannah E Moore
REVIEWS FRONT ZO
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Saint Lucie
The for oing instrument was acknowledge before me
this day of,p to 1'44� 20a by
I� Yvan HOWS
Name of person making statement.
Personally Known x . OR Produced Identification
Type of Identification
Produced V h OW IDS
ik UWOU
(Signature of Notary Public- State of Florida )
n No. —1 I (Seal)
VEGETATION
REVIEW REVIEW