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Home My WebLink AboutBUILDING PERMIT APPLICATIONa All APPLIC BLE INFOMUST BE COMPLETED FOR APPLICATICIN TO BE ACCEPTEDR( Date: �' I�' `/(1 CO Permit Number: 1 Q Cl J Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone:_(772) 462-1553 Fax: (772) 462-1578 '� �j�JC/ RECEIV�b Building Pe MAW A A�plicatio AUG 14 2019 ��lpy�j ST. Lucie County, Permitting BY StIudecolin Commercial k es-- idential x PERMITTYPE: New Construction I DIMPROVEMENT LOCH Address Property Tax IDMasloa?'bib —OS19-za -:7 Lot Site Plan Name: Project Name: DETAILED DESCRIPTION OF WORK: CONSTRUCTION INFO Additipnal work to be performed under this permit— check all that apply: Mechanical GGasTank _Gas Piping _Shutters V Electric /Plumbing _Sprinklers _Generator Block No. g� Windows/Doors Roof Pitch Total Sq. Ft of Construction�:��4�� JSq. Ft. f First Floor: Cost of Construction: $!Ft �Q Utilities: ewer _Septic Building Height: OWNER/LESSEE:- CONTRACTOR: 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 No772- 905-8394 E-Mail: 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 CRC1 330146 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: Name: Kaesee Assoaams Ad d ress: 945 SouVi orange Blossom Trail City: Apopka State: FL Zip: 32703 Phone 407-880-2333 FEE SIMPLE TITLE HOLDER: MORTGAGE COMPANY: Not Applicable Name: Address: City: State: Zip: Phone: Not Applicable BONDING COMPANY: Name: Name:_ Address: Address: Zip Zip: Not Applicable 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 NnTrrF OF rnMMFNrFMFNT " Signature of Owner/ Less a/Contractor as Agent for Owner Signature of Contractor/Lic nse H Ider STATE OF FLORIDA STATE OF FLORIDA COUNTY OF SainiLude COUNTY OFSalntLucie The fo oing instr�yn�nt was acknowledge before me The forgoing instrument was acknowledged before me thisdayof_/bXt/ 201 by this_ day of. 20_ by William Bryan Adams William Bryan Adams Name of person making statement. Name of person making statement. %ersonally Know OR Produced Identification Personally Know x OR Produced Identification ype o entification ' ication Produced Produced (Signature of Notary Public- St ture of Notary Public- w" PATRICIA ANN G �'" IFFIN PATRICIA ANN GRCommission No. GG13769a :' # GG ission No.F cc111124 7rWmissION#GO000MMlSsI)N 26, EXPIRES September 2 , 2021 EXPIRES September REVIEWS FRONT PLANS VEGETATION SEA TURTLE MANGROVE ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED nev. zlilltl