HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: '2_1 t)` d ` q
RECEIVED
Building Permit Application MAR 0 52#21
perrnittln9 D
St Luce County ent
Commercial Residential X
PERMIT TYPE: NEW CONSTRUCTION
Address:
Property Tax ID #t: 1311 770I CO47 a6c I 1Z3
Lot No.
Site Plan Name: ADAMS HOMES S
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC. Block No.
Additional work to be performed under this permit — check all that apply:
Mechanical ;•
`l _Gas Tank �. � .. � r Gas Piping _Shutters i� Windows/Doors
Electric � Plumbing Sprinklers P _ Generator, / '(_ Roof Pitch
Total Sq. Ft of Construction: 2-q (2) Sq. Ft. of First Floor: !� ,0
Cost of Construction: $ Z.69 'TOO Utilities: lk 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 Owner listed above)
Name: WILLIAM BRYAN ADAMS - QUALIFIER
Company: ADAMS HOMES OF NORTHWEST FLORIDA INC.
Address: 3000 GULF BREEZE PARKWAY
City: GULF BREEZE State: FL
Zip Code: 32563 Fax: 772-905-8511
Phone No 772-905-8394
E-Mail PSLPERMITS@ADAMSHOMES.COM
State or County License CRC1330146
f value of construction is $2500 or more, a RECORDED Notice of Commencement is requ
F value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
N a m e: Keesee Associates
Address
945 South Orange Blossom Trail
City: Apopka
Zip: 32703 P h o n e 407.880-2333
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State: FL
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Narne:_
Address:
City:_
Zip:
Phone:
Not Applicable
te:
Not Applicable
wvw t nmi- i un E+rriiyv� i : 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
unty
makes no
which is noconflict with any
a f elicablelon that is Ho a Owners Associationting a lt will rulesabylaws,or,anuthorize dpcovenantermit s that'mer to alydrestrictborprstructure
h b t such
structure. Please consult withpyour Home Owners Association and review your deed for any restrictions which may apply.
Y PP Y•
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 RFFnRF nFrnnnivir vn� to wrnru-r r.r °�
------- --- ---- --
•.a.� yr \,V lq I��CIY I.CIn CIY 1.
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucie
COUNTY OF Saint Lucie
The for going instL�-u-rnmg-nt was acknowledged before me
this day
The forgoing instrument was acknowledged before me
of t�0i'�LQlr 20'?J by
this day of f-"0&Otj 20ZL by
• an mf
Name of l rson making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Personally Known x 'OR. Produced Identification _
Produced_ K n
Type of Identification
Produced K Yl r)w m
- at WWj
P(Sature
Y 1 Wv�
of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No.D� NowryPubhc3m��
s n No. -( I (Seal)
Hannah E Moore
M mmi
7of
Expires 07/01202
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