HomeMy WebLinkAboutBuilding Permit Applicationf ik t
All APPLICABLE INFO MUST BE COMPLETED'FOR APPLICATION TO BE ACCEPTED
Date: Permit Numberdbb,
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
Address: �1 D� r Vl YCA n O my I
Property Tax ID #: w�1 Lot No. (301
Site Plan Name: G o I ,/r � -iJ ( Block No.
Project Name: T I d U M S 1� W If,1 0 T N 91(th N IS t F
CONSTRUCTION INFORM, QN:
Additional work to be performed under this permit — check all that apply:
k Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors
Electric Plumbing
� _ Sprinklers _ Generator —1 Roof Pitch
Total Sq. Ft of Construction: Ot DL(1 Sq. Ft. of First Floor: I t�
Cost of Construction: $ W] 5,99 U Utilities: ;_� Sewer _ Septic Building Height:
OWNER%LESSEE
CONTRACTOR
7
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
Phone No772-905-8394
E-Mail: pslpermits@adamshomes.com
E-Mail Pslpermits@adamshomes.com
Fill in fee simple Title Holder on next page ( if different
State or County License CRC1330146
from the Owner listed above)
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.
SUPPLEMENTAL,CONS�TRUCTIONLIEN
LAWINFORMATIOfV,t
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DESIGNER/ENGINEER: _
Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: Keesee Associates
Name:
Add ress: 945 south Orange Blossom. Trail
Address:
City:
State:
City: Apopka State: FL
Zip: 32703 Ph One407-880-2333
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY:
Not Applicable
Name:
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."
st'gnature of Owner/ Lessee/Contractor as Agent for Owner
ature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Saint Lucie
COUNTY OF SaintLuoie
The forgoing instrument was acknowledged before me
this r day of �N 202b by
The for oing instrument was acknowledged before me
this day of MCA 20 4 by
Bu Q n n oi% m s
Y\I CA Y-) I4-GA CA m S
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur of Notary7ii�_�111
(Signatu otar F' ih5t a
� PATRICIA ANN GRIFFIN
=+;0�6' �1N GRIFFIN
Commission No. GG137;�:
.
MY COM ON # GG137624
($ )
Commission No. Gc,3 �:� MY COMMIS GG137624
EXPIRES September 26, 2021
PISS SEMI
"""� Ptember 26, 2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2/7/19
UOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE # 4669919 OR BOOK 4377 PAGE 2871, Recorded 02/03/2020 04:33:15 PM
T— Prepared by and after recording return to:
4— John.W. Monroe, Jr.
0 Emmanuel, Sheppard and Condon
30 S. Spring Street
r Pensacola, FL 32502
Waterstone PH 1
0 Permit No.:
Tax Folio No.: NOTICE OF COMMENCEMENT
Cu
State of Florida
County of St. Lucie
Q To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real
i property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this
I 1 NOTICE OF COMMENCEMENT.
Description of property: Legal Description: Lot 32, Block 1, Waterstone - Phase One, according to the
Plat thereof, as recorded in Plat Book 52, at Page 36, of the Public Records of St. Lucie County, Florida.
Street Address: 8704 Marano Avenue, Fort Pierce, FL 34951
1. General description of improvements: Single Family Dwelling
2. Owner's Information: Name: Adams Homes of Northwest Florida, Inc. Attn: Daphne Fincher
Address: 3000 Gulf Breeze Parkway, Gulf Breeze, FL 32563
Interest in Property: Fee Simple
Name and Address of fee simple titleholder (if other than owner):
3. Contractor Information: Name: Adams Homes of Northwest Florida, Inc., Bryan Adams, President
Address: 3000 Gulf Breeze Parkway, Gulf Breeze, FL 32563
Telephone No. 850-934-0470 Fax No. (Opt.)
4. Surety Information: Name: N/A
Address:
Amount of Bond:
5. Lender Information: Name:
Address:
Telephone No.:
6. Identity of person within the State of Florida designated by owner upon whom notices or other documents
may be served as provided in Section 713.13 (1) (a), Florida Statutes:
Name: N/A
Address:
Telephone No.:
7. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes:
Name: Grant Frierdich
Address: 751 SE Port St. Lucie Blvd., Port St. Lucie, FL 34984
v 8. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless
Q Different date is specified)
W WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE
m OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION
713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
m PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
Q BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR
U AN ATTORNEY BEFORE COMMENCEING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief.
Adams Homes of Northwest Florida, Inc.
co
0
Signatu Owner or s Authorized Officer/Director/
0 Partner/Manager
UGlenn H. Schneiter, Asst. Controller
State of Florida
0 County of Escambla
The Foregoing Instrument was acknowledged before me this 29th day of January, 2020, by means of (x) physical
presence or ( ) online notarization, by Glenn H. Schneiter, Asst. Controller, of Adams Homes of Northwest Florida, Inc.
•� a Florida Corporation who is personally known to me and who did not take an oath.
Notary Public (Signature�aY c�
yo ••••'••.e� MARv c. HART
fi H Notary Public, State of Florida
Q` MY Comm. Commissian'No. GG115571res June 18, a21
I HEREBY CERTIFYTTLATTHIS DOCUMENT ISATRUE AND CORRECT COPY OFAN OFFICIAL RECORD ORQDigitally signed by The Honorable Joseph E. Smith
UOCUAIENTAUTIIORIZEDHYLAR'TODERECORDED ORFILED,\NTIACTUALLYRECORDED ORFILED IYDate: Digitally
signed
by Th 13 -05:b0
THE OFFICE OFTIIF. ST: LUCIE COUNTY CLERK OFTHE CIRCUIT COURT.
THIS DOCUMENT MAY HAVE REDACTIONSAS REQUIRED BY LAW Reason: Electronically Certified Copy
VISIT RTTPS:IWLVCIECLERK.CO]USERVICFW"P.RTIFXOFFICIALRECORDS TO VALIDATE TIIIS DOCUbIE,Location: 201 South Indian River Dr, Fort Pierce, FL 34950
UOSEPH E_ SMITH, CLERK OF THE CIRCUIT COURT — SAINT =CIE COUNTY
FILE # 4669919 OR BOOK 4377 PAGE 2871, Recorded 02/03/2020 04:33:15 PM
V� Prepared by and after recording return to:
4— John W. Monroe, Jr.
Q Emmanuel, Sheppard and Condon
30 S. Spring Street
r Pensacola, FL 32502
Waterstone PH 1
Q) Permit No.:
0) Tax Folio NO.: NOTICE OF COMMENCEMENT
(U
State of Florida
County of St. Lucie
Q To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real
1 property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this
LL NOTICE OF COMMENCEMENT.
mDescription of property: Legal Description: Lot 32, Block 1, Waterstone - Phase One, according to the.
`J Plat thereof, as -recorded in Plat Book 52, at Page 35, of the Public Records of St. Lucie County, Florida.
U Street Address: 8704 Merano Avenue, Fort Pierce, FL 34951
I
1. General description of improvements: Single Family Dwelling
2. Owner's Information: Name: Adams Homes of Northwest Florida, Inc. Attn: Daphne Fincher
Address: 3000 Gulf Breeze Parkway, Gulf Breeze„ FL 32563
Interest in Property: Fee Simple
(V Name and Address of fee simple titleholder (if other than owner):
3. Contractor Information: Name: Adams Homes of Northwest Florida, Inc., Bryan Adams, President
w Address: 3000 Gulf Breeze Parkway, Gulf Breeze, FL 32563
r Telephone No. 850-934-0470 Fax No. (Opt.)
t.
m 4. Surety Information: Name: N/A
Address:
_ Amount of Bond:
5. Lender Information: Name:
Address:
Telephone No.:
6. Identity of person within the State of Florida designated by owner upon whom notices or other documents
may be served as provided: in Section 713.13.(1) (a), Florida Statutes:
Name: N/A
Address:
Telephone No.:
7. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida. Statutes:
Name: Grant Frierdich
Address: 751 SE Port St. Lucie Blvd., Port St. Lucie, FL 34984
8. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless
Different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE
OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION
713.13, FLORIDA STATUTES, AND CAN 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.YOUR LENDER OR
AN ATTORNEY BEFORE COMMENCEING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief.
Adams Homes of Northwest Florida, Inc.
Signatu Owner or s Authorized Officer/Director/
0 Partner/Manager
U Glenn H. Schneiter, Asst. Controller
State of Florida
County of Escambila
The Foregoing instrument was acknowledged before me this 29th day of January, 2020, by means of (x) physical
Cr presence or ( ) online notarization, by Glenn H_ Schneiter, Asst. Controller, of Adams Homes of Northwest Florida, Inc.
•E a Florida Corporation who is personally known to me and who did not take an oath.
Notary Public (SlgnatureY v�
?o .. •.,,BG MARY C. HART
Notary Public, state of Florida
My Comm. Expires
CommissionNO. GG115571Q21
HEREBY CERTIFY THATTHIS DOCUMENT ISATRUE AND CORRECT COPY OFAN OFFICIAL RECORDOR Digitally signed by The Honorable Joseph E. Smith
I)OCM„1W ICNTAUTHORIZEO BY IT0 BE RECORDED ORFILED AND ACTUALLY RECORDED OR FILEDn .Date: 202O.OZ.O3 16-:42:13 -05:00
THE OFFICE OFTIIE ST. LUCIE'COUNTY CLERK OFTHE CIRCUTr. COUNT,
THIS DOCUTIENTMAY BAYE REDACTION'S AS REQUIRED BY LAN: � - Reason: Electronically Certified Copy
VISIT IITTPSJhTLUC1ECLERA.COYUSERVICF_%TCERTIFY-0FF'ICIAL•RECORDS TO VALIDATE THIS DOCUI,EKL Location: 201 South Indian River Dr, Fort Pierce, FL 34950