HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �j "� a �r � ! Permit Number: — �1 V
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 WE NEW CONSTRUCTION
Address: 2�
Property Tax ID #: 131 "7i5Q — Q I yZ 000
Lot No.
.Site Plan Name: ADAMS HOMES
Block No. _ Z
Project Name: ADAMS HOMES :OF NORTHWEST FLORIDA. -INC.
Additional work to be performed under this permit — check all that apply:
' CLi Mechanical -Gas Gas Tank' _ Gas Piping Shutters
— X Windows/Doors
Electric Plumbing — Sprinklers Generator
X— Roof Pitch
Total Sq. Ft of Construction: 31S—zo Sq. Ft. of First Floor:
Cost of Con bruction: $9 Utilities: Sewer —Septic Building Height:
Name ADAMS HOMES OF NORTHWEST FLORIDA INC.
Address: 3000 GULF BREEZE PARKWAY
City: GULF BREEZE
State: _
Zip.Code: 32563 Fax:772-905-8511
Phone No. 772-905-8394
E-Mail: PSLPERMITS@ADAMSHOMES.COM
Fill in fee simple Title, Holder on next page ( if different
from the OW.n'er listed above)
Name: WILLIAM BRYAN ADAMS - QUALIFIER
Company: ADAMS HOMES OF NORTHWEST FLORIDA INC.
Address: 3000 GULF BREEZE PARKWAY.
City: GULF BREEZE FL
State:
Zip Code: 32563 Fax: 772-905-8511
Phone No 772-905-8394
E-Mail PSLPERMITS@ADAMSHOMES.COM
State or County License CRC1330146
If value of construction is $2.500 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: Applicable
MORTGAGECOMPANY: Not Applicable
Name: Keesee Associates
Name:
AddreSS: g45Sou1hOrange8lassomTrail
Address:
City. Apopka State: F�
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:
-� -• .�I �. olv 1 iArriu.v a i : Nppiication 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.
R. Lucie County makes no representation that is granting a permit will authorize the permit holder to, build the subjectstructure
Which is in conflict with any applicable Home Owners Association rules;' -bylaws or and.coven,ants that may re-stri'ct or prohibit such
structure. Please consult with your Home Owners Association and re`vieJv 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 tfie 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."
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Signature of Owner/ Lessee/Contractor as
STATE OF FLORIDA
COUNTY OF Saini Ly'de
Vol
r Owner Signature of Contractor/License Holder T—
The forgoing instrum nt was cknowledged before me
this 1S'day of GLKLK , 20z 1 by
Name of person making statement.
Personally Known x OR Prod"uced Identification
Type of Identification
Produced_ K n w
(Signature of Notary Public- State of Florida )
CommissionNo.
Notary Put*c Stela
Hannah E Moore
REVIEWS FRONT ZO
COUNTER REVIEW REVIEW
DATE
RECEIVED
COMPLETED
ev777Ti9--
STATE OF FLORIDA
COUNTY OF Sainc Lucie
The forgoing instru e t was cknowledged before me
this —ay of Ql 207 by
yi: �ryan Ala �f
Name of.person making statement..
Personally Known x OR Produced Identification _
Type of Identification
Produced is Y10W II.S
(Signature of Notary Public- State of Florida )
mm s n No. '` I (Seal)
Vn .
AWakKA VEGETATION
REVIEW REVIEW