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
Ong
Permit Number
Building Permit Application �F�Fiv�o
MqR 2
Commercial
PERMIT TYPE: NEW CONSTRUCTION(
Address: / 05,
Property Tax ID N: _ 1311
Site Plan Name: ADAMS HOMES
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC.
Additional work to be performed under this permit - check all that apply:
'Mechanical _ Gas Tank _ Gas Piping Shutters
,X Electric -P Plumbing _ Sprinklers
Total Sq. Ft of Construction: o26o
Cost of Construction: $ 3J'� 0d Utilities
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 Titie Holder on, next page ( if different
from the Owner listed above)
Aer"'7ittfn
�Z�??
Residentiaf`'`���o
Lot No. bo
Block No. /
XWindows/Doors
— Generator K_ Roof Pitch
Sq. Ft. of First Floor: 9A,(-5
: P Sewer _ Septic Building Height:
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.
Ju
- — - • ^HHI iiereuy maae 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 r t'
g an ing 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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Salnl Lude
The for oing ins ent was acknowledged before me
this day of I fnlbr-� 20 Z/ by
ams
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced U DIN n
41 h AAL_�L W
(Signature of Notary Public- state of Florida )
Commission No. _� I Iy�
Notary Pubhc Sm1H
Hannah E Moore
REVIEWS I FRONT Ikf"
ZO
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
07/01
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S-iM
The forgoing instrument was acknowledged before me
this day ofZO Z/ by
�. �rwa as wf
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced Y_Y)0W M
Y 1 WOU
(Signature of Notary Public- State of Florida )
n No. q
VEGETATION
REVIEW REVIEW REVIEW
(Seal)
Kpires