HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number: O C
CA
Building Permit Application Oceveo
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Commercial ResidentiA"It.
PERMIT TYPE: NEW CONSTRUCTION
Address:
Property Tax lD N:
Site Plan Name: ADAMS HOMES
Lot No.
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: 9!2 Sq. Ft. of First Floor:
Cost of Construction: $ (, �,� yD/�j Utilities: � 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 - 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.
"=I Guy moue io 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.
akes no
wthichcis inocontflic with any applicableton HomeaOtwners Associationnting a irulelsabylaws or andpcovenants that may the
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 rant' f h'
g ing o t is 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
STATE OF FLORIDA
COUNTY OF Safnl Lucie
The forgoing instrument was acknowledged before me
this 3b day of 207,/ by
am�c
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced_
*Sisature of Notary Public- State qnf Florida )
Commission No. - 099
i Notary Public SOetO
Hannah E Moore
REVIEWS I FRONT I ZOI4m
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
o7101
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF szi-iL.cie
The forgoing instrument was acknowledged before me
this _T12 day of 202-./ by
i. buan �� f
Name of person on making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
n No. r-( I
REVIEW REVIEW I VEGETATION REVIEW
(Seal)
xpires
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