HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: b 131 /1Ck
10-® %Ao"Otj Permit Nw
�
Vj(tD SCANNED
BY
St.. Lucie County
Building Permit Appl
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 TYPE:
Address:
Commercial
JUN 4 2019
%ting Department
St. Lucie County, FL
Residential
PropertyTaxlD#: I�Ll-�C)U- 6�lorl �Q�S Lot No. V
Site Plan Name: Block No. a
Project Name:
Additional work to be performed under this permit - check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
✓Electric ✓Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $
c
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors
✓ Roof Pitch
Jtilities: ✓ Sewer _ Septic Building Height:
r4r
OWNER%LESSEE , , -.v , M3 , s
x�h.+�COfV�T�RAC�Ts�R
,
,
Name Pda=HmmdNmU%"ifl�o-AInc.
Name: AdamsHanesofNorthwestFWk[O. I lam Bry A
Address: �UAF T 1= "4.
Company: Adams Homes of Norumes;Floda• hie- d
City:�UL F ��Z State: a—
""
Zip Code: -:52963 Fax: aD.93` 155213
Phone No. 9 • G34. i tLM
Address:30M �tF igfj.
City: C LLF �94ttZlc State: �L
Zip Code: 3 3 Fax: • 9314. S533
Phone No ?-54D {.(7-(=i(5
E-Mail: C.MeT Cpyyr
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mai �pSt TJ�2(yytj}; Q,00Ctola Y)CVN2.$ C_C1vt
State or County License' C-55DILIb �P r> sF FL
•-�••�•• •• .•• •+ aww ur arure, a ncwnucu nonce or commencement is requrrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENjTAL�C®NSTRU+�CTIO,N�LIE %IN
F zre- -�•-
O^ RMATI�®CV
F1
DESIGNER/ENGINEER: Not Applicable
_
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
_
Address:
Address:
City: State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ COry I RAI.I OR AFFIDVIT: Application is hereby made 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 6 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 granting 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 RE[nRnlNr. Ym iw NnTrrr no rnumrure..c..
i �fZeSd>=n(r
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA(��
COUNTY OF �
The for oing instrument was acknowledged before me
thisudayof MV W 20J�j by
William Bryan Adams �loe�u
Name of person making statement
Signature of
STATE OF FLORID
COUNTY OF -
The forgoing instrument was acknowledged before me
this 3 1 day of C.�- 20_LCJ by
William Bryan Adams t�cr1-
Name of person making statement
Personally Known OR Produced Identification _ Personally Known _� OR Produced Identification
Type of Identification Type of Identification
SHELLEYA.SEPULVED
MY COMMISSION ft GG
EXPIRESI,lanuary 26 26
SHELLEYA.SEP
MYCOMMISSION N
EXPIRES:Januan
Cure of Notary P a _.
Commission No. CGj-267.(77:7REVIEW
ission No.
[7C�26 �:• (Seal)
REVIEWS FRONTS VEGETATION SEA TURTLE FREVIEW
ANGROVE
COUNTERW REVIEW