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Home My WebLink AboutBuilding Permit Applicationi All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r Date: C G Permit Number:2 1 V Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-15S3 Fax: (772) 462-1578 Building Permit Application Commercial Residential X PERMIT TYPE: NEW CONSTRUCTION Address: Property Tax ID tt: / 2) 0 — %ba _ / 9-_ q Lot No, l %? 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 Windows/Doors Electric Plumbing _ Sprinklers — Generator X_ Roof Pitch Total Sq. Ft of Construction: —a. _3a./„ Sq. Ft. of First Floor: _' 9 Kn Cost of Construction: $ _ 30, L/(yl Utilities: K 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 $2.500 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. YS'U P s .. �* � �� L �f' � � �'.:.. Y .: rY.dy� 4� X;t�F'�` 114 ,y�SKf+, � '.' T. .-y � . � � l x ✓.1+p4ii f k �. u� .,X, .. _ c. t..`�sr �Ia+-• 1�,Eu„�:.xc...�..,�3� ?7.�-..43,^,.`,� ems'',. T tiR�, � �y��- b �Y,� a"� �M,y : ' L�`�"�f-a2r�'' `�:.��-+�J,xF '•�v= ,. .it e...:.t'�'�S.�aha�'_,tG'�'e'J�53"`•4 .�t.�J.�'��=CN . ��"'��3� DESIGNER/ENGINEER: Not A licable �.>Ef�Tz "_' ' ''" — pp MORTGAGE COMPANY: _Not Applicable Name: KeeseeAssociates Name: Ad d reSs: 945 South Orange Blossom Trail Add ress: City: Aa°aka State: FL City: State: Zip: 32703 Phone407-aeo-2333 Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: O1A/1UFR/ rn'nlTQnrrnn ACCIrI\ T /I. . -' -- - • ••�-� • �•� I . f_%P /r1L dL1Un Is nereoy mane 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 RFFnRF bFrnranuur vnI IO. wlnrlcr nr » ----- -- — — •.v ■ ■a.■: yr a.v nuncr�l �.C1I1CrY 1 .-- Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF S.intLucle COUNTY OF 8ainllucie The forgoing instrument was acknowledged before me this ADday The forgoing instrument was acknowledged before me of 20 2L by this Ali day of 20U by Nbull Ida o m. Iry a ►� ►�-d o f 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 ) ,n b W it _ Type of Identification Produced Y Yl O W IDS WyJ OKal, WOU (Signature of Notary Public- State of Florida) (Signature of Notary Public- of Florida ) Commission No. �/� (sS NotarypubheSOaes �State s n No. -` I (Seal) ;� Hannah E Moore • M MMI OF A Expires 07/01202 0 REVIEWS FRONT COUNTER ZO REVIEW REVIEW REVIEW VEGETATION REVIEWzpires Rona Moore 71OR'}EW DATE RECEIVED DATE COMPLETED ev.