HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO RE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1S78
Permit Numberg,?"3 _ U d
RECEIVED
i
Building Permit IApplication De MAR 2 5 Toll
permitting G
St. Lucre County
Commercial Residential X
PERMIT TYPE: NEW CONSTRUCTION
Address: X /_1 IF,
1L)A,
Property Tax ID a: /,3I/ - 76a . 059. L�6
Site Plan Name: ADAMS HOMES
Lot No. `i' %
Block No. _
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
Electric Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: _,Sq. Ft. of First .Floor: _
Cost of Construction: $ _L/Z C16(j - Utilities: ewer _Septic
XWindows/Doors
K— Roof Pitch
000
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
772-905-8394 State:
Phone No. Zip Code: 32563 772-905-8511
E-Mail: PSLPERMITS@ADAMSHOMES.COM Fax:
Phone No 772-905-8394
Fill in fee simple Title Holder on riext page ( if different E-Mail PSLPERMITS@ADAMSHOMES.COM
from the Owner listed above) 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.
0
- - - • -rr� --'--„ „ ""' guy iiidue io 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.
akes no
on
wthich is nocontflic with any applicablelHomeaOiwners Associationnting a irules,by bylaws oizerandhe pcovenantsthat mays estri t ofrprstructure
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 —
F. 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 anoth
er 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."
cure of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF SainlLuclo-
The forgoing instr�,y{ment was acknowledged before me
this %e day of JG� =� — 20Z! by
c
.Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced_ U O W Y1
(Signature of Notary Public- State of Florida )
Commission No. LL1 1 9 9
Notary Put*c SWte
Hannah E Moore
REVIEWS I FRONT I ZO
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Signature of Contractor/License Holder.
STATE OF FLORIDA
COUNTY OF Saint Lucie
The fro/rgoing instrr ent was acknowledged before me
this � day of 4!:fe — 20 Zl by
�(bula
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced V-h O W IDS
Ila Ltd' �
(Signature of Notary Public- State of Florida )
No. q 1 (Seal)
S,SJ VEGETATION �R om�++ 9$ W
REVIEW REVIEW spires 7/0