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Home My WebLink AboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Cr' Permit Number: 1 " 110-oq .-gyp CO\� SCANNED BY RF�FrV�o St. Lucie County oCj Pe'mrir, 1B1p19 Building Permit Application St <�9p� Commercial Residential X PERMITTVPE: New Construction k PROPOSED IMPROVEMENT LOCATION:' : . 1 Address: Property Tax ID #: 3440d' &09- 0040 - 000 7 Lot No. 0902 Site Plan Name: Project Name: Block No. fit L CONSTRUCTION INFORMATION: - as Additigna[ work to be performed under this permit -check all that apply: —Mechanical _ Gras Tank _ Gas Piping Electric ✓Plumbing JP rinklers Total Sq. Ft of Construction:Z774t) Cost of Construction: $�elz 0,3. OJ Utilitii _ Shutters Generator w<ndows/Doors <oof Pitch Sq. Ft. of First Flo/ =Z10 s: _Sewer 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 N0772-905-8394 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 LicenseCRC1330146 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 N a m e: Keesee Associates MORTGAGE COMPANY: _ Not Applicable Name: Add re SS:945 South Orange Blossom Trail Address: City: Apopka State: FL Zip: 32703 Phone 497-8M2333 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: _ of Applicable Name: Address: Address: City: City: Zip: Phone: Zip: Phone: 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." Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF samtLuue COUNTY OFsaintwae The forgoing instr ent was acknowledge before me The fo,�r,,,,ggoIng instr ent was acknowledged before me thija day of �, 20/fL by this .10 day of 20 by William Bryan Adams William Bryan Adams Name of person making statement. Name of person making statement. ersonall OR Produced Identification Personally Know OR Produced Identification Type of Identification ype o entification Produced Produced ( ll•,0 l�� ignature of Notary Public- State of Florida) (� �/ii�l7CJ/ Li '�+ ture of Notary Public- State -a -i .�^�.. P TRICIA ANN G Commission No. GG137624 ;g•'.'.p ;$ea IFFIN ; A' -K%W PATRICIA At I• GG137624 M�Y�ICOMMISSION # G _ ission No. .. 1 I�$dIaOMMiSSIOr. septet., EXPIRES September 21 i, 2021 4f,c EXPIRES REVIEWS FRONT PLANS VEGETATION SEA TURTLE MANGROVE ZONING SUPERVISOR COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.