Loading...
HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED # t Q3 1 Date: SCANNED Permit Number: '© BY RECEIVED lai St. Lucie Cou • County - — Building Permit Application OCT 18,2019 Permitting Department Planning and Development Services St. Lucie Countv Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPE: New Construction PROPOSED IMPRO EMENT LOCATION: Address: Q Property Tax ID#yea Lot No. 3 Site Plan Name:nn --''�� --,, r J - T Block No. Project Name:Ao(" s �QJ 0f or{ -I t"Sf Rorl � � !nc Additiyna] work to be performed under this permit —check all that apply: •Mechanical GasTank _Gas Piping _Shutters /'Electric /GPlumbing _Sprinklers _Generator Windows/Doors Roof IPitch Total Sq. Ft of Construction ..2*70 Sq. Ft. of First Floor- .2o10 Cost of Construction: $ Ai y. 45b Utilities: _ 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 No 772- 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 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 N a me: Keesee Assadates MORTGAGE COMPANY: Not Applicable Name: Address' 945 Scum orange Blossom Trail Address: City: A9ep a State: FL Zip: 32703 Phone 407-880-2333 City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable Name: BONDING COMPANY: Not 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 RECORDIN6-V9uR NDTICIF nF rnMMFNrFMFNT_" Signature STATE OF FLORIDA COUNTY OF Saint Lucie as Agent for Owner I Signature of STATE OF FLORIDA COUNTY OFSaim Lucie The for oing instrument was acknowledged before me The fo oing instrument was acknowledge before me this M day of , 20� by this z day of f/ . 20� by William Bryan Adams wiAiam Bryan Adams Name of person making statement. Name of person making statement. Known X I_ OR Produced Identification Notary Pu -'sta e Commission No. GG137624 ;' :; MY C WENISSION # GG737U, •q2 �,�t;'* EXPI ES 1ISeptember26,2021 REVIEWS FRONT ZONING SUPERVISOR COUNTER REVIEW REVIEW DATE i OR Produced Identification Produced iggnature of Notary State of Florida I PATRICIA ANN GRI No. GG137624 CCQQ==II N •t Ml(C' ISSION # GG1 • • •d�°' EXPIRES September 26, PLANS REVIEW I V EVIEWON I S REVIEW I TURTLE EVEWLE I MREV EWVE