HomeMy WebLinkAboutBUILDING PERMIT APPLPICATIONY/
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (o 1 1 8 t-w)4S Permit Nur
6(;ANNED
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---_---- BuildingerNii l
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE:
Address:
7- - V'U
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E®
JUN 4 2619
tion
permitting Department
St. Lucie County, FL
Residential
PropertyTaxlD#:_ Lot No. l
Site Plan Name: Block No. 19
Project Name:
Additional work to be performed under this permit -check all that apply:
Mechanical _Gas Tank _Gas Piping _Shutters
✓Electric Plumbing _Sprinklers _Generator
Total Sq. Ft of Construction: 91q Sq. Ft. of First Floor: _
Cost of Construction: $ `3`/<% 035.79 Utilities: zsewer —Septic
Windows/Doors
✓ Roof Pitch
Building Height:
Name AdamsHM=O1NathwestFlotWaIna
Name: AdamsRunesotNwMmetFlocida. I iam Bry A
Address: Leo.
Company: AdamaHomesdNo tFlorida. lne.
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City:�U ylyttr�x State: b—
Zip Code: 3 Fax:05D•934!55Ee
Phone No. • G'Yi. C 'ZD
Address:3� 6>< O-klEtLE cif.
City: 94�E lY State: rL
Zip Code: 3 3 Fax: • 1-34 S533
Phone No tg D • 9& i. It-W
E-Mail: �S�e fm �5 C@ adar B•3 e4. Cove
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail_M1VT2rynA-/g��WQC(M%hCI,v CS3 Y1
State or County License_ yF_ IL16 4e�iSF FL
.� 111- C V 1 w.orroouon is ;,aouu or more, a newnueu notice of commencement is required.
If value of HVAC is $7�500 or more, a RECORDED Notice of Commencement is required.
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�SUPPEMrENlA`CONSTR`%`TsOIEN$NORMAT�ION':1}Rery5
DESIGNER/ENGINEER: _ Not Applicable
Name:
r p
MORTGAGE COMPANY: Not Applicable
—
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
nWNFR/rntUToAr nn Aver.•.,t- .
Zip: Phone:
— --- - F — - • ••^-- -- %• • ,�.- j. nppncauon ,s nereoy made to obtain a permit to do the work and installation as indicated.
I certify that no work dr installation has commenced prior to the issuance of a permit.
which is iucie nkconflict makes
any representation
pplicable' Home Owners Association) rulelsabylaws or an covenants that ma'yr estrictbor 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 RECORDING YDUR Nnrtrc nr rnmmr.rc..r.,t.
lfLesdrn(r
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA—
COUNTY OF_ �ttp
The forgoing instrument was acknowledged before me
this �dayof_:5 . V1,Q 20A�2 by
William Bryan Adams f)4�er10Liz
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
SHELLEYA.SEPUL%
MY COMMISSION q GG
Signature
Holder
STATE OF FLORID n
COUNTY OF Tw 42sl_�
The forgoing instrument was acknowledged before me
this � day of i i . 0 2019 by
William Bryan Adams, "liv—
Name of person making statement
Personally Known _� OR Produced Identification
Type of Identification
SHELLEYA.SE
MY COMMISSION
Cure of Notary Pu a
Commission No. qyr2r.20-ly (Seal) Commission No. C-AZb2c;* (Seal)
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