HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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RECEIVEO
ED
Building Permit Application
Planning and Development Services
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Building and Code Regulation Division
Permittln
2300 Virginia Avenue, Fort Pierce FL 34982
St Line CoUntrment
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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.
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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.
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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
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(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
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