HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONrA;
All APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: `� - �.\ �fs���� Permit Number. ,�d�' d �6 -I
l� DIV
Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort. Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Cornmerciar- -
PERMITTYPE: New Construction
-..
Property TaxID
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INFORMATION:
RECEIVED
Appli atioAUG 1 3 2019
ST, Lucie County, Permitting
Residential-x_ -
Lot No. -9"
Block No. 65—
Addit6nal work to be performed under this permit- check all that apply: ,//
✓✓Mechanical _Gas Tank _Gas Piping _Shutters Windows/Doors
i✓/Electric Zlumbing _Sprinklers _Generator Ve7Roof Pitch
Total Sq. Ft of Construction Sq. Sq. Ft. of First Floos:
Cost of Construction:$�/6f �J[l• CO Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: ICONTRACTOR:
Name Adams Homes of Northwest Florida, Inc
Name:
Address:3000 Gulf Breeze Parkway
Company:Adams Homes of Northwest Florida, Inc.
City: Gulf Breeze State: _
Zip Code: 32563 Fax: 772-905-8511
Phone No.772-905-8394
Address:3000 Gulf Breeze Parkway
City: Gulf Breeze State: FL
Zip Code: 32563 Fax: 772-905-8511
Phone No 772- 905-8394
E-Mai1:pslpermits@adamshomes.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail pslpermits@adamshomes.com
State or County License CRC1330146
If value of construction is $2500 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _Acit Applicable
N a m e: Keesee Associates Name:
Add ress:945 Soum orange Blossom Trail Address:
City: Apopka State: FL City: State:
Zip: 32703 Phone 407-880-2333 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _.�I_Not Applicable I BONDING COMPANY: XWot Applicable
Name: I Name:
Address: I Address:
Zip
Zip:
OWNER/ CONTRACTOR 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 a 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 RECORDING YOUR NOTICE OF COMMENCEMENT_"
as Agent for Owner
STATE OF FLORIDA
COUNTY OF SalntLucie
The forgoing instru en was acknowledg before me
thiday of , 20, by
William Bryan Adams
Name of person making statement.
Type oflde
Produc
(Signature
Known x OR Produced Identification
Public- State
Commission No. GG137624
REVIEWS FRONT
COUNTER
DATE
RECEIVED
DATE
COMPLETED
TRICIA ANN
COMMISSION #
ZONING SUPERVIS
REVIEW REVIEW
STATE OF FLORIDA
COUNTY OFSalntwae
The forrm�ing instru e t was acknowledge before me
this dsday o 20LZ by
William Bryan Adams
Name of person making statement.
Personally Known x OR Produced Identification
Type of Identification
Produced
(Signature of Nota) Public -St
No. GG137624
2021
PATRICIA ANN GR
F
IN
&&MMISSION # GG'31
i i24
EXPIRES September 26
2)21
REV EW V EVIEWON S EV EWLE I MREV EWVE