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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: -- -- — -- RECEIVEO ED Building Permit Application Planning and Development Services �uNoEV Building and Code Regulation Division Permittln 2300 Virginia Avenue, Fort Pierce FL 34982 St Line CoUntrment ougty Phone: (772) 462-1553 Fax: (772) 462-1S78 Commercial Residential X PERMIT TYPE: NEW CONSTRUCTION P,ROPOSED,IIVIPROVEMENT�LO.CiATIf� t S. Address: 5 n Property Tax ID »: I ` - Dog Q •0007A Lot No.��� Site Plan Name: ADAMS HOMES r 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 X Windows/Doors Electric Plumbing _ Sprinklers _ Generator K_ Roof Pitch Total Sq. Ft of Construction: 9409 Sc. Ft. of First Floor: J� u Cost of Construction: $ al y I q O 0 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. aF ii A5t xcs YkN/.,-k4���lk�i�^,�ihF� � � �C''f�'_`,eQ _ �''�..ikCe�f`w �Pr`3'.ta,syxF%f'1Ft �y�s'+,�ei'q,G Sgvi��'`�t fSa't'a'ps�R'': "F�'sSS� i''ti'�;'d.a� 1>��R'i h3" 't,L` :.i �.4 x✓A. -r_�r.k DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Applicable Name: KeeseeAssocia[es _Not Name: Address: g45SoulhOrangeBlossomTrail Address: City: Apopka State: FL City: State: Zip: 32703 Ph one407.880-2333 Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Applicable Name: _Not Name: Address: Address: City: - City: Zip: Phone: Zip: Phone: UMNI R/ CuN I RAC I OR 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'sdbjecf structure Which is in conflict with any applicable Home Owners Association rules, bylaWs'or,and covgnanfs-that may restrict or prohibit such structure. Please consult with your Home Owners Association and-�ev_iew yoUrdeed for any restrictions -which may apply. t In consideration of the granting of this requested permit, I do hereby agree.that;I'will, ih all respects, p"erfofm 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 RF['n Dnuwr. vnr rn i►inriirr nc i-f%km iC�l! C�IcaT » 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 forgoing instrument was acknowledged before me this X day of 20j� I by The forgoing instrument was acknowledged before me this day of JNJLIU 2091 by P�rvan Wraam s W. roan ftda wf 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 _K.tt D W n _ Type of Identification Produced Y-VI U I`S k wyj . WOAJ (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commission No. p17D� ��s Notary PubhcSmle ,� s n No. I (Seal) Hannah E Moore • M mmi REVIEWS FRONT COUNTER 7OF ZO REVIEW Expires 07i01r202 REVIEW REVIEW VEGETATION REVIEW 0t9le on Wzpves)7r0RWEVV stele of Fp. Moore DATE RECEIVED DATE COMPLETED ev.