HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q
Date: �� �`, Permit Number:
RECEIVED
0
------ Building Permit Applicati n AUG 13 ?019
Planning and Development Services ST. Lucie County Permitting Building and Code Regulation Division g
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
Property Tax ID #: L3/1 ' m - D/W - 0Q0' p Lot No. kid
Site Plan Name: '" I- Block No..2
Project Name: &AIIA11of /U®y'n ►j Florl t'k. C.
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Addal work to be performed under this permit— check all that apply:
/ VMechanical �GasTank _Gas Piping _Shutters Windows/Doors
�lectric ✓ Plu�/ttmA�bing _Sprinklers _Generator _✓Roof Pitch
Total Sq. Ft of Constructioml[` & Sq. Ft. ooff First Floor: �a-77
Cost of Construction: k� -b • Utilities: ✓Sewer _ Septic Building Height:
OWNER/LESSEE z xti r �r r �raM
L KF try p 4 r yy sBCONTRACT�O
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Name AdamsHomesotNodhwestFiodda i�
Name: A&=1iwxisotNa2we5tFlodda I lam Bry A
Address: (SttLF
Company: Adams Homesot Northxes.Floric6ke.
City: 4Ua P f9� State: �
Zip Code: -:52563 Fax: L'&-D•`13� 85-2,3
Phone No.
Address:3MC� 6"a-pj12tMzE r 44.
City: C�.D State: rL
Zip Code: 3 3 Fax: • -1314. 5533
Phone No 1�5 o • 934. C LP70
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail4A i;Q
t ikNYlyet�," r(WH
State or County License_C�'E MIL16 ez� of FL
UU W un,au u611u11 rs p[ouu or more, a newnutu Notice or commencement is required.
If value of HVAC Is $7,S00 or more, a RECORDED Notice of Commencement is required.
SUPP EMEN�TALvCONSTRUGTION LIENpLYAV1%�INF
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MA`TION} ` ., ` i ° a ?-P k
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DESIGNER/ENGINEER: _ Not Applicable
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MORTGAGE COMPANY:
= ,k::»1 a E F„.
Not Applicable
Name:
Name:
_
Address:
Address:
City: State: _
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
_
City:
City:
Zip: Phone:
Zip: Phone:
W V V � I . Wlv 1 nmu l OR AFFiDVi I: Application is hereby 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 In conflict with any applicable lHomeeOwners Association) permit
lesabylaws or the covenants that may restrict 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 concuirency 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_"
I �fZes,G>`r�
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORID n STATE OF FLORID
COUNTY OF —K�° COUNTY OF Oa 5(p
The forgoing instr ment was acknowledged before me The forgoing mst ument was acknowledged before me
this AL day of 20� by this = day ofVIALYM 20_Lcl by
William Bryan ams I to William B anA ams r �Qtwr.ICWP—
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification _ Personally Known _� OR Produced Identification
Type of Identification Type of Identification
MYCOMMISSION p GG
of Notary
SHELLEYA.SEP
MY COMMISSION 0
Commission No. C�'2ra2cgq (Seal) Commission No. 2c;* (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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