HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR.APPLICATION TO BE ACCEPTED
Date: Permit Number: ! 0� • 3
FLECEI —
- - - Depa�met►C
MINNOW
pe StuC�eOoun� Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: NEW CONSTRUCTION
Address:
v
Property Tax ID #: l Jr! - q6n-U 3_DUo-� ar-�_
Lot No. e2
Site Plan Name: ADAMS HOMES
Block No. __L
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC.
Additional work to be performed under this permit - check all that apply:
Ci Mechanical _ Gas Tank — Gas Piping Shutters
X Windows/Doors
Electric Plumbing — Sprinklers Generator Roof
— ,�_ Pitch
Total Sq. Ft of Construction: .,h
- -a � � Sq.Ft. of First Floor: ITS
Cost of Construction: $ _ o�cf, C%b� Utilities: v� 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. 772-905-839(4
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 FL
State:
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 $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.
- r CUy rildue to ooiain a permit to do the work and installation as indicated.
I certify that nyo work or installation has commenced prior to the issuance of a permit,
akes no
St.
thich is inconflictwith any applicableion HomeaOiwners Associationnting a irulesabylaws or andpcovenantit s that mabuild
restri t or
proh 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."
ignature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Saint dude
The forgoing instrument was acknowledged before me
this _Lday of Se�l� lY l , 2024 by
Qr►�s
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced_ U b W n
(Signature of Notary Public- State of Florida )
Commission No. D (7 09 9
- Notary Pubhc Ste4a
Hannah E Moore
REVIEWS I FRONT I ZOIom
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
XPIres
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Saint Lucia
The forgoing instrument was acknowledged before me
this I day of Afa_6,a-_, 20 Z( by
1�. Man mTjaws
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced Y_ V) ow M
(Signature of Notary Public State of Florida )
No. -1 I (Seal)
VEGETATION
REVIEW
REVIEW REVIEW