HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number:
I_ NA "RCRIVED
- Building Permit Application AUG 2 7 2021
Planning and Developmen t Services
Building and Code Regulation Division �k C"
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: NEW CONSTRUCTION
Address:
Property Tax ID 11: 1311— '7a)- lv)U— V
/ Lot No.
Site Plan Name: ADAMS HOMES
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA,
INC. Block No.
Additional work to be performed under this permit — check all that apply:
'v Mechanical _ Gas Tank _ Gas Piping Shutters
X Windows/Doors
Electric Plumbing _ Sprinklers
— Generator �(_ Roof Pitch
Total Sq. Ft of Construction: _ q?, 9_,ja Sq. Ft, of First Floor:
Cost of Construction: $ 36aI a7 Utilities: Y__ 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 an 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 QRC1330146
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.
v
-- - -- - • • • •rr���� 11- t uy ntaae to ootain a permit to do the work and installation as indicated.
I certify that no y work or installation has commenced prior to the issuance of a permit. -
makes
on
which cis noconfli t with anyapplicableapplicableiHomeaOiwners Associationnting a iru rules, or andthe pcovenrmit antsthat mayrestrictestri t ojrprstructure
oh bit 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 santLucie , COUNTY OF S.;ntL.6.
The forgoing instent was acknowledged before me The forgoing instrument was acknowledged before me
this i'f day ofru 20 2-1by � L this day of �/.IL _4 Lc� —, 20 Z l by
buaftasryif
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification Personal) Known x
Type of Identification y OR Produced Identification
Produced_ Kn W V1 Type of Identification —
Produced k h OW IDS
(Signature of Notary Public- State of Florida )
Commission No. D 1 V 1 9 5 ,.
Notary Pugh. Stale
Hannah E Moom
REVIEWS I FRONT I ZO
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Ea-L&U AUOAJ—
(Signature of Notary Public- State of Florida )
No. -` 1 - (Seal)
VEGETATION
REVIEW I REVIEW