HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenv,, Fort Pierce FL 34982
Phone: (772) 462-1SS3 Fax: (772) 462-1S78
PERMIT TYPE:
Address
Property Tax to:i: !S//- &o—
Site Plan Name:
SCANNED
BY
St. Lucie Countv
Pe[mit Number: 0-0
RECEIVED
Building Permit Application NOV 04 2019
Permitting DePartment
St. Lucie County
Commercial Residential X
AddI work to be perforrhed `under this permit — check all that apply:;
Z_Mechanical Gas Tank _
Gas Piping Shlut[ers
Electric
_ Plumbing —Sprinklers
_ G6ne�ator
Total Sq. Ft of Construction:
Sq. Ft. of First; Floor: _
Cost of Construction: $.,M
Ut'I' '
Lot No.y�
Block No.�
Windows/Doors
4—/Roof Pitch
i hies. Sewer . i Septic Building Height:
r — P
in�nrnr ravo�sra�G�e��x�--sue-- .. I
Nam Adams Homes of Northwest Florida, Inc. Name: Wlliar�t'Bryan Adams -Qualifier
Address:3000'Gulf Breeze Parkway
Gulr Breeze Company:Adiam,6 Homes of Northwest Florida, Inc.
City: State: _ 3000 Gulf Breeze Parkway
32563 Address:
Zip Code: — Fax:772-.905-8511 Gulf Breeze
Phone No.772-905-8394 City:
State: FL
Zip Code: 32563
E-Mail:Psipermits@adamshomes.com Fax:
Fill in fee simple Title Holder on next page
Phone No 772�905-8394
(if different
E-Mail PsIperin(ts@adamshomes.com
from the Owner listed above) State or County License CRC1330146
If value of construction is 52500 or more, a RECORDED Notice of Commencement it required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
uealuNtK/ENGINEER: —Not Applicable
N a m e: Keesee Associates Architecture Design, Planning
Address: 945 South Orange Blossom Tail
City: Apopka State: Pl
Zip: 3zTo3 Phone4or-eao-23o4
TITLE HOLDER: Not Applicable
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
_Not Applicable
Name:
Address:
City:
State:
ZIP: Phone:
BONDING COMPANY:
Not Applicable
Name:
7T
Address:
City:
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.
whichisis Count cotlimawith any applicablelon Ho ea Owners Asssociat n rulesermit will abylaws oize r andhe p ovenar is that maydres[r subject
proh bit 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 Iwill, 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 concurrencyreview: room additions,'
accessory structures, swimming pools, fences, walls, signs;scre6 roomsand'a 6ssory 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
R LENDER OR AN ATTORNEY BEFORE RECORDIN NOTICE OF COMMENCEMENT."
i.
as Agent for Owner
STATE OF FIL
COUNTYOFgf
The for oing instr ment was acknowledgbefore me
this day of 20 by
Name own maki statement.
OR Produced Identification
Produced ILIA ANN GRIFFIN
• MY COMMISSION # GG137624
EXPIRES September 26, 2021
(Si ature of Notary
��Ic- aa/e o orl a
Commission 4;��6 64 (Seal)
REVIEWS CFRONT TER ROEVI W S REVIEWOR
STATE OF FLOR
COUNTY OF �q % &e—[ e
The for oing instrument as acknowledge before me
thisTdayof� 20� by
Ll
//;; ithIiam yl/ hjyl(
Name ofperWn making sta ement.
OR Produced�fdentification
Produced �LANN GRIFFIN
-1 MY COMMISSION # GG137624
`?e•- • , RES September 26, 2021
AN
(Signature of Notary Ic- State of Florida )
Commission No. avJ76.)tt (Seal)
PLANS VEGETATION SEATURTLE I MANGROVE
REVIEW REVIEW REVIEW REVIEW