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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 1 O9— sw y a 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 PERMITTYPE: New Construction u.l.'o2,Sr.'t)..ri.t«.•.a8r. rtA.�.AJ'...aYi�r$ni�.$F. Fk4xaw:'e .Av7.A.•s.•v� I % c7��91��S+f�, J ^�'1�� a,l ;t4.. 1a .. b? + Property Tax ID #: d 3 %1 - 1eo? e 0b 34 - Lbp- q Lot No.�s Site Plan Name: Q'(1(�1'i1 �Abm ,, Block No. (+ Project Name: 5 1't0(Y�E'S Ufi" ,�D.ETAcc,,,�,.`L �lh.. �R33A 3eg-r" i� �N''b� + �� % �.--r�r ��v�i"1�t�"'�J Additional work to be performed under this permit - check all that apply: X Mechanical_/ Gas Tank _ Gas Piping _ Shutters � Windows/Doors X Electric Plumbing _ Sprinklers _ Generator Roof Pitch Total Sq. Ft of Construction: 31 054 _ Sq. Ft. of First Floor: Cost of Construction: $ ?j 7 97� y00 Utilities: ]t Sewer _ Septic Building Height: _ �'.}zS:.�'x..'SF6�°�TtkaAr��i','�V3��. _�k. "��rridie.8.ti.a`esd'�aJe�%e$��°�P. 'a' .,,t..`k�'��?'��"•� 11'e.�,',..,1� _ K a.S2't�'��Y�i��`��^�r��F`fsr��.,`ei�. Name Adams Homes of Northwest Florida, Inc. Name: William Bryan Adams Address:3000 Gulf Breeze Parkway Company; Adams Homes of Northwest Florida, Inc. City: Gulf Breeze State: — Address:3000 Gulf Breeze Parkway Zip Code: 32563 Fax: City: Gulf Breeze State: FL Phone No. 772-905-8394 Zip Code: 32563 Fax: 772-905-8511 E-Mail: psipermits@adamshomes.com Phone No772-905-8394 Fill in fee simple Title Holder on next page ( if different E-Mail pslpermits@adamshomes.com from the Owner listed above) 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. Y^ k{ �iffYc +rp e.;t Z # x d . X '�" ;, y s� +, i� �' . .Y, - � y ''# y. �:Atzi7i ii♦ ft�a3rT'j i' f rr`� ^..J r . Iir rCONS,TRUCTION LIEN LAW INFOR=MATiI®N� �; �r� ry v �� x �4<• .-�,✓°_'�...a��iX�:;�7;:^��5�'r�,t4''�la.�. s�%,-� i Y �'-�w"a A`�p� '�- � � a� t"�� zt`�.�� "i,:.�+;�,`�,. � �frLt eb'• �� ! �t�f �,,rrs.: n ��s _Z�t: i`�-3 �: �,� a:�.rs?� � , �s�._i�''f � _�iF;F' car ,`'t%a, ar�s'�s'�.� � r• ! te't;�,f"` .7.'1�a°r �'�r>5.. DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable Name: Keesee Associates Name: Address: 945 South orange t3tos5om Tram Address: City: Apopka State: FL City: State: Zip: 32703 Phone 407-880-2333 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 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 subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review 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 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." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF saintLucie COUNTY OF saint Lucie The forgoing instrument was acknowledged before me this day of i�(�[),-+(^C�f, 20� by The forgoing instrument was cknowledged before me this day of r (C�i� 201—I by �rv�n 14raam t byyari Haws 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.n D N V1 Type of Identification Produced Y_ h OW N� at WVJ a Al WAJ -al, (Signature of Notary Public- State of Florida) (Signature of Notary Public--�of Florida ) Commission No. n01D� � Notary PubkSmb IStta�te °fin s n No. -1 (Seal) Hannah E Moore • M m t 0 4of Expires 07/01/202 REVIEWS FRONT ZO VEGETATIONjatlne Moore expires COUNTER REVIEW REVIEW REVIEW REVIEW 710KIMfEW DATE RECEIVED DATE COMPLETED ev.