HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR AP ATION TO BE ACCEPTED
Date; � Permit Number: r-
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMIT TYPE: NEW CONSTRUCTION
Address:
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Property Tax ID #i: I31 J - 106 - 0/6a ,vim -a
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:
' v-Mechanical _ Gas Tank _Gas Piping Shutters
is Windows/Doors
Electric Plumbing _ Sprinklers _ Generator K_ Roof
Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: j' ooq
L ost of Construction: $ �j
- 4 � ��[Z(L_ Utilities: _Sewer _Septic Building Height:
Na'ke ADAMS HOMES OF NORTHWEST -FLORID
Addr�.ss: 3000 GULF BREEZE PARKWAY
City: GULF BREEZE
State: _
Zip Code; 32563 Fax: 772-905-8511
Phone No. 772-905-8394
E-Mail: PSLPE,RMITS@ADAMSHOMES.COM
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Fill in fee simple Title Holder on next page ( if different
from the Owner lis-`ed 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-Maid PSLPERMITS@ADAMSHOMES.COM
State or County License CRC1330146
f value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
fvalue of HVAC is`$7,500 oimore, a RECORDED Notice of Commencement is required.
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