HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/21/2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 31 La Villa Way, Ft Pierce, Florida 34951
Legal Description: Spanish Lakes Country Club Community
Property Tax 1D#: 1301-111-0001-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Rough -In laundry sink
E1 H VAC
Electric
Right Side: Left Side:
Z Plumbing []Sprinklers
Total Sq. Ft of Construction: .
Cost of Construction: $ 1800
LJ Shutters
Generator
Sq. Ft. of First Floor: _
Utilities:Sewer DSeptic
Lot No.
Block No.
Windows/Doors
Roof Roof pitch
Building Height:
,. {i;['y}j3(39i iti3f?.rsta
ti�,.T- �.,..._.�
3i3i3i9SSili3b'i�9.� :.`.i?S4i ! 4:>R'Sfi..>.
kits:.i:x';c.�:
�E363Ei_{fi3:A
Name Don McClure
Name: Wade D Case
Address: 31 La Villa Way
Company: Lindquist Plumbing & Supply, Co., Inc.
City: Ft Pierce State: FL
Address: 3185 Sneed Road
City: Ft Pierce State: FL
Zip Code: 34951 Fax:
Phone No. 651-470-6939
Zip Code: 34945 Fax:
E -Mail:
Phone No. 772-461-1969
Fill in fee simple Title Holder on next page ( if different
E -Mail: Lindquistplumbingcompany@Gmail.com
from the Owner listed above)
State or County License: CFC1428458
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
�I �i�IT L C I STR1.. ION LIEN. -LA nr INFC]RI�IATi�hlw
DESIGNER/ENGINEER:
Name. _
Address:_
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
Not Applicable MORTGAGE COMPANY: Not Applicable
Name:
Address:
State
Not Applicable
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
Phone:
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, perforin 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
—� s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA _ STATE OF FLORIDA r
COUNTY OF A L-0 L 1COUNTYOF A I
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of d L 20 Eby this,Q-V day of P, 20 L-1— by
(Name of person acknowledging } (Name of person acknowledging)
�4
(Sig ature of Notary Public- State of Florida } (Signature of Notarynu lic- ate of Florida )
Personally Known '` OR Produced Identification
Type of Identification Produced
Commission No. (Sea]
Revised 07/15/2014
Personally Known L"'� OR Produced Identification
Type of Identification Produced
MY COhWISSION # GG055263
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS