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Home My WebLink AboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 �Z. a3 27 �l Building Permit Application ROCS"VFD FFB PeS ,4u eDepdrt Z. county ent Commercial Residential X PERMIT TYPE: New Construction ::d :. �ir� ..,J�. '�. e aLv F , _ a _F ,mac>YF�i4a::{: ...it..:. � � t a'�K��93`u. �' 4,.. /•� �k/k {i. �:d�i 1L�.3 �;si�Y"'...s aaa, 1M,ie� .t�.a .'�'G"n. `�,.%.�7,�'r?tc:��1k`#�R. � ;u•�, Address: Property Tax ID #: 1 31 1'7C) 0 ; S�3 p 3 Lot No. $� Site Plan Name: -LA d&ry S (--6 w,-sp-_ Block No. 1 Project Name: JAJa w s Kna+14s eE Additional work to be performed under this permit— check all that apply: X Mechanical Gas Tank _ Gas Piping _ Shutters � Windows/Doors X Electric Plumbing _Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: /Zlad Sq. Ft. of First Floor: Cost of Construction: $ �7C�� Utilities: —Sewer _Septic Building Height: �' .�i�Yf �`r lnfti_rrok^� o-F'S`.F Mkt F�, r'#`�`? 3 ^• rtt3` t x �N:E.R-L .,... 1�.a' hh� 4�. 1 A` - Ni57q-y" ?`�yflf1i'\. }!s r r ESSEE - z t :=> Fn �'y ;rs�, s c �F�. 'S"• x g £T ''Nf� 'ri;�"^-f.�i?aRVY �.cck+l5 1'Pf"!.'44' C®IVTRAGT®Rt F -r,�t��ty r;�.i,�M..,+lk...�:S,t�,ru.0 Name Adams Homes of Northwest Florida, Inca 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 No772-905-8394 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 — Ul UW11ZL1 uLuuu M ?ejvu ur inure, a, ncwnutu notice or commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. ce�c 6�7 ( �.;at�;_s�e l��iS, ms*•,a7,1''8a`cyt:'f'�:"£c:� ,�a;'ie�I �: i•;rF:?y"�'a'JYC��,.:,'� ..',LffY�'?'w;.'.,'i.",.y ki:M1.E/;`Z.;T" , .. �14✓r:�..�" •. rr:?v`,3�t�a :�T,t,7,a�o'Fq+;,xT'7;v.e Mtn. r'4'; . `�'�.'�'A4-✓�.''�'' .i r" L.. ' .Iry 'i a- �j;6t7 . 53ik•"A Sr I 5 S., .n ;+S i`i ,✓, �� 'i� A., •f • C i n _ i� , '�i � � r �v . 3 i Y- ! F I r � ? , i qi � pe � � � '( i F"'2, � F� ,y �� . Ir,. ��. �4�7�}'s-ri �. t�.. ;�� DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable Name : ICQQseQ Associates Name: Address: 945 south otanye aiossom Tram Address: City: Apopka State: FL City: State: Zip: 32703 P h o n e 407-880-2333 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 coven'ants 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 ariother 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 0E-COMMENCEMENT." ` Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/Licenser Holden STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SaintLuoie COUNTY OF SaintLude 1 The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of , 20_ by this day of , 20_ by Nun Hands 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 I N h Type of Identification Produced 14 in OW IDS �,Gl WOU (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. ��—1 +�'0 92 NoyryPubkSbb Hannah E Moore °�r,� s n No. —I I (Seal) REVIEWS FRONT 1*07,,dF ZO Expires07101202 VEGETATION R om 110010ROV8 COUNTER REVIEW REVIEW REVIEW' REVIEW expires 716tM?fEW DATE RECEIVED DATE COMPLETED ev.