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HomeMy WebLinkAboutBuilding Permit Application9 All APPLICABLE INFO MUST BE COMPLETED FORAPPLICATION TO BE ACCEPTED j �C J Date: a' 5 - al Permit Number: a] or © 1 (V "RECEIVED --- o - Building Permit ApplicatioA FEB 0 5 2020 Planning and Development Services ST. Lucie County, Permitting 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 Address: .D 2-6 `- A,v-, a f AI (! 1 Property Tax ID #: Site Plan Name: i Project Name: Additional work to be performed under this permit — check all that apply: X Mechanical Gas Tank _ Gas Piping _ Shutters X Electric n Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: 34d (p Sq. Ft. of First Floor: _ Cost of Construction: $ J , 1 Utilities: Sewer _ Septic Lot No.�_ Block No. Z ��// X Windows/Doors A Roof Pitch 25 Z3 Building Height, �'. � , .� '3 aj «.'S, r �,ns 1�±, •,i4 n a , "� i ) r - � v"�ryr;.. s� at r '1'> ,,, r �'h ;� 'i E a u; ,. '"r ^i' '1� �f 1:. ,-rw S� r f. t � �' }�rgi`e a �"T 3`s}' Fr �j� o ~x 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 Address-3000 Gulf Breeze Parkway City: Gulf Breeze State: FL Zip Code: 32563 Fax: 772-905-8511 Phone N0772-905-8394 E-Mail: pslpermits@adamshomes.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail Pslpermits@adamshomes.com State or County License CRC1330146 VO UC U LuMuuLuun is ?zauu or more, a ntLUKUtu Notice or commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. cif9"1.�i�l�'w`zStYnS:.^h'�,�...`��:�xSt-i�.:Y.�u:.�iLai�:��X,�3k-sk^.•.."*e°.�.��*�f,�'x,��-i r�.�t�:i`�1".'j,��A-.��vS;�:Y.ri-.ASK�L :.xr�,CF,.4��u."� .'�,a�x����-F�����T k� &el''��R7��-�l['.%��&'",4� DESIGNER/ENGINEER: ' _Not Applicable MORTGAGE COMPANY: Not Applicable Name: KeeseeAesoc�ates Name: Address: 945 So�ln orange 6�ossom Tra1� 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 clothe work and installation as indicated. I certify that no workor-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." Signature of Owner/ Lessee/Contra for as gent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SaintLuoie COUNTY OF SaintLucie The forgoing instr ment was acknowledged before me this Cul The forgoing instr� ment was acknowledged Pe ore me �'�iay of U CL64 20� by this ZZ-day of -I eA_n 20 Z by �L% u a n N a m S a Y1 ►�► f Name of p rson making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced) .II W V) Type of Identification Produced �( h O W t,S 01 ftUOAJ (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. � 9 NQlaryPubhcSdb om s n No, —1 1 (Seal) ��Syt� Hannah E Moore REVIEWS FRONT p7P, ZO ExpireS07/01202 VEGETATION174*R70M Moore COUNTER REVIEW REVIEW REVIEW REVIEW 0}"}EW DATE RECEIVED DATE COMPLETED ev. 2/7/19