HomeMy WebLinkAboutBuilding Permit Application_i
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATI
Date:
BONER
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
TO BE ACCEPTED
IPermit Number: — D'61 f
RECEIVED
Building Permit Application
,I
MAR 2 5 zozz
Permitting Department
St. Lucie County
Commercial Residential X
PERMIT TYPE: NEW CONSTRUCTION
Address:
Property Tax ID a:'
Site Plan Name:'ADAMS HOMES
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC.
�Ar
Lot No. dJ/
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 G,�_ Pitch
Total Sq. Ft of Construction: �1�� Lh� Sq. Ft. of First Floor: (, zJ0
Cost of Construction: $ 3. I, �oo Utilities: k4ewer _ Septic Building Height:
ADAMS HOMES OF NORTHWEST FLORIDA INC,,._.,-,_„- _ -...
Name Name: WILLIAM BRYAN ADAMS - QUALIFIER
Address: 3000 GULF BREEZE PARKWAY ADAMS HOMES OF NORTHWEST FLORIDA INC.
Company:
City: GULF BREEZE State: _ Address: 3000 GULF BREEZE PARKWAY
Zip Code: 32563 Fax: 772-905-8511 City: GULF BREEZE FL
State:
772-905-8394 Phone No. Zip Code: 32563 Fax: 772-905-8511
E Mail: PSLPERMITS@ADAMSHOMES.COM Phone No 772-905-8394
Fill in fee simple Title Holder on next page ( if different E-Mail PSLPERMITS@ADAMSHOMES.COM
from the Owner listed above) 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 certify that no work or installation has commenced prior to the issuance of anperrm tmit to do the work and installation as indicated.
ty
akes no
wthich is inconflictwith any applicable representation
Associationnting a lru es authorize
or permit
that malydrestri t or prstructure
ohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the grantin f th;
5. 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 SaintLucio-
The forgoing instrument was acknowledged before me
this (LI day of 20 24 by
am<<
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced U IDIw h
(Signature o �N.tary Public- State of Florida )
Commission No.
Notary Public stme
Will -Hannah E Moore
REVIEWS FRONT zoht"
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
07/01
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Saint Lucie
The forgoing instrument was acknowledged before me
this VY day of 2pin��, 20 21 by
No yvf
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced k h oW m
(Signature of Notary Public- State of Florida )
n No. 'l I (Seal)
'7 VEGETATION
REVIEW
REVIEW REVIEW
RIM fE W
BOARD OF
COUNTY
COMMISSIONERS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building & Code Regulation
i
CHECKLIST FOR RESIDENTIAL/COMMERCIAL BUILDING PERMIT
RECEIVED
MAR 2 3 2022
Pro ject Location: Date:
St. Lucie County
� Permit Number: Technician: Permitting
Reguired Documents:
Application completely filled out with Notarized Signatures .............................
YesX No
N/A
Sub Agreements with Notarized Signatures (prior to issuance) ..........................
Yes^ No
N/A
Owner / Builder Affidavit (signed in office).....................I..........................
YesX No
N/A
Filled Land Affidavit (prior to issuance) ......................... .........................
Yes^_ No
N/A
Recorded Warranty Deed, if applicable .. I ..........................Yes
No
_
N/A X
Recorded Notice of Commencement (prior to issuance or inspection) .................
Yes t/No
_ N/A
Utility Agreement or Payment Receipt (prior to issuance).................................Yes V No
N/A
Vegetation Removal Application with copy of survey......... I .........................Yes^
No
N/A
Plans, Calculations & Attachments ( 3 copies commercial, 2 copies residential)
Complete set of plans with Engineer / Architect Raised Seal. .......................... Yes^ No. N/A
Truss Plans reviewed and approved by Engineer / Architect ............................ Yes^ No N/A
Landscaping and Parking plan (under 6,000 sgft)......................................... Yes No _ N/A X
ApprovedSite Plans............................................................................ Yesn No N/A
Sealed Survey with Dimensions, Finished floor ........................................... Yes^ No N/A
Elevations and Setbacks.............................................................. Yes^ No N/A
X
Plot plan with Setbacks ...................................... ...................... YesNo N/A
_1
Health Department approval stamped on survey and floor plan ........................
Yes
No
N/A
Health Department Food Establishment Permit stamped on floor plan... ..............
Yes
No
N/A
Manual "J" or Manual "N" Calculations....................................................
YesX
No
N/A
Signed Energy Calculations (1 set original signatures & signed in 2 spots) ...........
vv
. Yes ^
No
N/A
Sealed Wind Load Compliance Certification ...............................................
YesX
No
N/A
Product Review Affidavit` .......................................... .
Yes
No
N/A
Excavating a pond for fill:
Site plan showing 25-foot(minimum) set back from all property boundaries, size, Yes_ No_ N/A
shape, location and quantities of proposed excavation and fill areas
Side slopes not to exceed 4 to 1 to a minimum of 3 feet below water level......... Yes No N/A
Depth of excavation does not exceed 12 feet in depth .................................... Yes No N/A
If Hauling fill off site (excess of 100 cubic yards) you must have a mining permit Yes_ No_ N/A
Other:
Health Department Permit Paperwork.......................................................
Yes
—No
—N/A
CD for Fire Department if commercial or multi -family ....................................
yes
—No
—N/A
DEP, SFWMD or Army Corp of Engineers (dock, seawall, SF on'beach)............
Yes —No
—N/A
PoolBarrier Affidavit..........................................................................
Yes
—No —N/A
Ground Sign Landscape Affidavit (signs) ...................................................
Yes
No
N/A
Burn Rate for Sign Cabinets..................................................................
Yes
—No —N/A