HomeMy WebLinkAboutBuilding Permit Application_ ,
_S
All 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 Numbera�'?[) 3 . Cj Y-1 y
Building Permit Application -
Commercial Residential X
PERMIT TYPE: NEW CONSTRUCTION
Address:
S�
Property Tax ID a: /-S // -- '1
Site Plan Name: ADAMS HOMES
Lot No. /1
Project Name: ADAMS HOMES OF NORTHWEST FLORIDA, INC. Block No. _
Additional work to be performed under this permit — check all that apply:
C Mechanical _ Gas Tank _ Gas Piping Shutters
Electric 'X Plumbing _ Sprinklers
Total Sq. Ft of Construction:�� 9
Cost of Construction: $� C ( �l"(��j Utilities
Name ADAMS HOMES OF NORTHWEST FLORID ZINC.
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)
XWindows/Doors
_ Generator K— Roof Pitch
Sq. Ft. of First Floor: / Sao
: �--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
value of cbnstruction 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.
Xr
- - - - • .v ff, ..�..�� Guy Mdue Lo ootain 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.
y makes no
on
which cis noconfli t with any applicableiHomeaOiwners Associationranting a irules, by bylaws or andize the pcovenants that may restrict t ojrproh bit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the rantin f th'
g g o 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 Sain[Lucie
The forgoing instrument was acknowledged before me
this _�L day of CU4-LLt 20ZZ by
veiiie of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced K.0 W )
(Signature of Notary Public- State of Florida )
Commission No. D1 1 Mdi/y
Notary Public Stets
Hannah E Moore
REVIEWS I FRONT I ZOIMIC
COUNTER REVIEW
RECEIVED
DATE
COMPLETED
a7toi
f
gnature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF saintLucie
The forgoing instrument was acknowledged before me
this day of IL oJ7rycat—, Z0Z2 by
1�L. ryan ���►s
Name of pe sr on making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced k h OW I`S
EalM, Y 1 W O
(Signature of Notary Public -State of Florida )
n No. 1
REVIEW REVIEW I VREV EWON
(Seal)
zpves P710KN?}EW