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) 462-1S78
Permit Number: C4�O v ��
Building Permit Application ju2Aul'-l_uVeda6u1�a1""ad
110,5SaVW
Commercial Residential X a31\1-a0V
PERMIT TYPE: NEW CONSTRUCTION
Address:
Property Tax ID N: /3//-
Lot No. / �o
Site Plan Name: ADAMS HOMES
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC. Block No. _
d 0/4 / a
Additional work to be performed under this permit — check all that apply:
�i Mechanical _ Gas Tank _ Gas Piping Shutters
— X Windows/Doors
Electric Plumbing Sprinklers P _ Generator �(_ Roof Pitch
Total Sq. Ft of Construction: qhy�z Sq. Ft. of First Floor: y� 7
Cost of Construction: $ 9f—I�gt)o _ Utilities: r.t.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
value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
r� ��• , —1—Y IfIdUe Lo ooiain 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 no
wthichcis noconfll t with any applicablelon HorneaOlwners Associnting a ation) rules abylaws or the permit
that malyr estrl t olrprstructure
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 grantin of IN
in accordance with the approved plans, the Florida Building Codes and Stec LuetC ulnl, inty AmlendmentsPerform the work
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 anothe
r 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 Saint Luofo_
The forgoing instrument was acknowledged before me
this 4)a day of � Die�r ZOZf by
I�L�i�V�f9-ra Q nil �s
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced Kn pw n
(Signature of Notary Public- State of Florida )
Commission No.
Notary Pups SO®b
P;:� Hannah E Moore
.REVIEWS FRONT ZO
COUNTER REVIEW REVIEW
DATE
RECEIVED
COMPLETED
ev—
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Saint Lude
The forgoing instrument was acknowledged before me
this 2,L day of� � jr— , 2024 by
ji brvan as w f
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced {_ Yi 0W IDS
:Ua_V T 1 0 AJ
(Signature of Notary Public- State of Florida )
No. -1 i (Seal)
OVA&"4I VEGETATION
REVIEW REVIEW