HomeMy WebLinkAboutBUILDING PERMIT ALL 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 FL 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: 1400 Platts Lane, Fort Pierce, Florida 34982
Legal Description: PLAITS BRANCH LOT 1-LESS TO SLC AS IN OR 1877-2940-(1.15 AC)(OR 356-1962)
Property Tax ID#: 2433-501-0001-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left side:Install Water Service to Meter
Additional work to be erformed under this permit—check aln apply:
❑ ,
HVAC Gas Tank ❑Gas Piping Shutters ❑Windows/Doors
Electric �✓_Plumbing Sprinklers FI Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1300.00 Utilities:CnSewer ElSeptic Building Height:
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Name William E Zumbrum Name: Wade D Case
Address: 1400 Platts Lane Company: Lindquist Plumbing&Supply, Co_, Inc.
City: Ft Pierce State:FL Address: 3185 Sneed Road
Zip Code: 34982 Fax: City: Ft Pierce State:FL
Phone No.772-812-5228 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$2590 or more,a RECORDED Notice of Commencement is required.
„ r ' ' ON:: .
LtP E � .�i I STRIJC��N IEN LAW,:' A {3 :
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 Horne 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ts7r L LAC_ f c- COUNTY OF S-” LU G l C,
The forgoing instrum 't was acknowledged before me The forgoing instrument was acknowledged before me
this; day of r!'`I f 20 17by this day of QeIZL1 20 L 7 by
�/o CL 0 0.S C, LA-)dr-te S
(Name of person acknowledging) (Dame of person acknowledging)
(Sig ature of Notary ublic-State of Florida) {Signature of Notary u -S4 at e of 7lMori da
bl )
Personally Known V OR Produced Identification Personally Known �OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. (Seal) MIC IEW
i (Sear
MY CO MISSION#GG055253
Revised 07/15/2014
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