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Home My WebLink AboutBUILDING PLAN APPLICATION• All APPLICABLE INFO. MUST BE COMPLETED FOR APPLICATION_ TO BE ACCEPTED Date:n—�-` Z` Permit Number: 2 t t/.% Building Permit Application Planning and Developrhent Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 .Phone: (772) 462-1,553 Fax: (772) 462-1578 Commercial Residential X PERMIT TYPE: NEW CONSTRUCTION Address lie Property Tax ID #: Site Plan Name: ADAMS HOMES Project Name: ADAMS HOMES OF NORTHWEST .FLORIDA , INC. -Lot No._. 1_ Block No. Additional work to be performed. under this permit — check all that apply: 'Mechanical _Gas Tank _Gas Piping _ Shutters iX Windows/Doors Electric Plumbing _ Sprinklers _ Generator_ Roof Pitch Total Sq. Ft of Construction: 2 Sq. Ft. of First Floor: Cost of Construction: $ a[�,� 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: PSLPERMI,TS@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 FL State: Zip Code: 32563 Fax: 772-905-8511 Phone No 772-905-8394 E-Mail PSLPERMITS@ADAMSHOMES.COM State or County License CRC13301'46 If value ofconstruction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencementis required. t^x 3 � �, r �2 , y �-,�;:r ��'� °� '�t+'?p �3�h �;ti.Yz��rh}`v *P�.:r✓�i'Yri�nSw��Y p< fwStrJ^:tsC •..,, �t yht�".p�ay��..k'g :'�.'r�.{,£�w1�*:Y".. i r: t ..,X+, p, ._.. � �_ �':��I,'•��"J.`�ttzs. � . . i ...41�""t' F..-�4�,..��i�=1�6+�tt�1^�;r � : S�`�,,�'^a ,�! Lod c'� � ¢ r. Sy�,�{.�g +�.. DESIGNER/ENGINEER: _ Not A Ircable � -'` `� -a'x pp .< :"� MORTGAGE COMPANY: Not Applicable Name:`KeeSeeAss�aa�es Name: Address: 945 So��h o�an9e eiossomr�an Address: City: Apopka State: FL City: - State: Zip:32703 Phon.e407.e80-2333 Zip: Phone: .FEE SIMPLE TITLE HOLDER: _ No.t.Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: city: Zip: Phone: Zip:.: Phone: OWNER/ CONTRACTOR AI`Ab T: 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 subjectstructure Which is in conflict with any applicable Horne 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 Twill, 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." J Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Balnll_ucfe CQU.NTY 0 F satniLucie The fo^�r o�ing instrument was acknowledged before the this Y'/ day of 20,1 by The forgoing instrument was acknowledged before me this I day of ��l,e 20oz( by w ��rv�n aom S IN. rya6 H �►s Name -of p rson making statement. Name of person: ma:kmg statement. Personally Known x 'OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced_ _ Type of Identification Produced Y—h OW m Si natu� ( g re of Notary Public State of Florida)k . (Signature of Rotar Public- State o g y t f Florida ) Commission No.� t/� ° s n No. q I N91aryPubhcSoats (Seal) Hannah E.Moore • M mmi 7a n Expires 07101202 0 REVIEWS FRONT ZO VEGETATION nat om re COUNTER REVIEW REVIEW REVIEW REVIEW Expires)710RWfEW DATE RECEIVED DATE COMPLETED ev.