HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION. TO BE ACCEPTED
Date:
ll�,y(IT
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: �� ��g ' b �(A v
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Building Permit Application JUN ®2021
Permitting nepprtMrrit
St. Lucie CW, ty
Commercial Residential X
PERMIT TYPE: NEW CONSTRUCT -INN
Address:
Property Tax ID #: I I' l O I' O b l� - 00 -a l
Lot No.�
Site Plan Name: ADAMS HOMES —�
Block No.
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC.
Additional work to be performed under this permit — check all that apply
Mechanical
_Gas Tank,'. _Gas Piping
Shutters
is Windows/.Doors
Electric
Plumbing _ Sprinklers
_ Generator
(_ Roof Pitch
Total Sq. Ft of Construction:
r� J� 11/ Sq.
Ft. of First Floor:
Cost of Construction:
$ 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 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
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.
UP
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Applicable MORTGAGE COMPANY: Applicable
_Not
Name: KBeseeAssocfates Name:
Address: s4sso�;horangeeio55omrra;i Address:
City: Apopka State: FL City: State:
Zip: 32703 Phone407-880.2333 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Applicable
Name:
_Not
Name:
Address,
Address:
City:
City:
Zip: Phone:
Zip: Phone:.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work bnd 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 cove.nants,that may restrict or`prohibit such
structure. Please consult with your Home Owners Association ari'V review your deed for any,restrictions whichmay apply.
In consideration of the granting of this requested permit, I do hereby agree that (.will, in.allxespects,-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."
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Signature of Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF SalnlLucle
COUNTY OF Saint Lucie
The fg5oing instrument was cknowledge before me
this day of
The for oing instrument was acknowledged before me
, 20DU by
this:day of J �&)%A _ 20 '& by
�[ P� ry n t ra a rri S
A. ry a r1 �,I � ►�i f
Name of p rson making statement.
Name of person making statement.
Personally Known x OR Producizd'Identification
Personally Known x ' ` OR P'roduce'd Identification
Type of Identification
Produced_ LUNY)
Type of Identification , _
Produced K V OW i\S
ftUOAJ
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. �� Notary PubkSWIe
om s n No. 'lI ' (Seal)
ida
Hannah E Moore
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DATE
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DATE
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ev. 211119