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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 �• All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: -% N. �'31 \:% SCANN Permit Number: RECEIVED St. Luclecounlv AUG 13 9019 Building Permit Applicati Planning and Development Services . Luse County, Permltting Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-M3 Fax: (772) 462-1578 Commercial Residential PERMITTYPE: W=m W51,9�T/rjWAiTllrl%[� vqir'- 'W ' Site Plan Name: Lot No. t Block No. IT Additipnal work to be performed under this permit- check all that apply: ✓ Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors Electric /Plumbingg _ Sprinklers _ Generator ✓ Roof Pitch Total Sq. Ft of Construction: Ouo 7 Sq. Ft. o First Floor: /i dl) �r +� Cost of Construction: $ 9&6; Q'J • Utilities: ewer _Septic Building Height: .a- OWNER/LFESSEE CONTRACTOR l.'P�.l_.^.�ls'.a+^l� Name Adams wmofNmftVstMrkr Dir- Name: AdawliwgsofNaNwestFlotda I ism Bry A Address: C14LL °yMiEi3c= k L4. Company: Adams Honies of Northwest Flodda. loa City:�l '4�2WtrE Stater— Zip Code: -:52963 Fax:8G)•934.85 ? Phone No. • C154. 01410 Address:3CZ)C� (&L"4 El.tyeF4. City: �! aj t 2%ttit State: FL Zip Code: :5WU5 Fax: • 9314. SS33 Phone No 0.93'4.OLNO E-Mail:�5ln2t m �SPadcyy\glxy„eS Court Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail cwit ns haaGw� ". State or County License__�Yz k'i'DILAo ; t7+7FaF R- it value or construction is SZ5B0 or more, a RECORDED Notice of Commencement is required. If value of HVAC Is $7,500 or more, a RECORDED Notice of Commencement is required. I sSUPPLEIVIENT�ALC©NS�TRUCfjIONrLIEN F� +/,t"_Y •�T: .ti"�v"�i3� .., 1 .'s.. 5,.^°1'...a.�.7es r'�'� z3�i`.-..�IL,2Zi�.�`'S:= �. �._ "."•ti �L�`.�.Cn. � � �i.r+.'.� Y-v i �^.$�f3GPfi.���'>� DESIGNE /ENGINEE _Nat Applicable MORTGAGE COMPANY: Applicable Name: _Not Name: Address: Gr Address: City: Stater City: State: Zip: o Phone_g0�-880-=L �— Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: ___ City: Zip: Phone: Zip: Phone: wwomcnI c.vry r KACI GR AFFii l I: 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 a permit. St. Is In conflict with ans no y applicable )Home Owners Association) rlesauthorize bylaws or and covenants that buildthe 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 YOUR NnI nr rnmm9mi •irrrur - l7Zts�R=rfr" Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORIDqC� COUNTY OF The forgoing instr rrent was acknowledged before me this t( day of'V� 20J!� by William Bryan Adams Quo-IOI Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced ..,.�....ar...� SHELLEYA. SEPI MY COMMISSION#GG26. sas _a; EXPIRES:Ianuary25,,X atuire of Notary Public-.Jke STATE OF FLORID COUNTY OF7w The forgoing instrument was acknowledged before me this 19L day of 21 by William B an Adams) �anr wrEu Name of person making statement. Personally Known �L OR Produced Identification Type of Identification of Notary SHELLEY& SEPLID MY COMMISSION # GG Commission No. 60,j 62cnLf (Seal)HREVIEW Commission No. C�C�2b7oit�. (Seal) REVIEWS FRONT ZONING PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW