HomeMy WebLinkAboutBuilding Permit Application 10/01/2018 08:59 Lindquist Plumbino 7724611999 H0.817 #002
ALL APPLICABLE INFO UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED.
Date: `�' _ Permit Number: ZO T 1
a r RECEIVED
Building Permit Application {
Planning and Development Services OCT U 12018
Building and Code Regulation Division Permitting
2300 Virginia Avenue,Fort Pierce FL 34932 ST. Lucie County,
Phone:(772)462 1553 Fax:(772)462-1578 Commercial Resk ential XXXX
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of lin
Address: 3303 AVE L
Legal Description: PLAT 3-SUNLAND GARDENS BLK 39 WLY 112 OF LOT 2 AND ALL LOT 3
Properly Tax ID#: 2405-701-0037-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:'
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WATER LINE FROM METER TO HOUSE
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itiona wor to e e Orme undert�ls permit–r.. ec a app(y"�'� �
HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
❑Electric Plumbing []Sprinklers Generator E]Roof Roof pitch
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 500-00 Utilities:,nSewer USeptic Building Height:
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Name SI-IARYL D BETTS Name: WADE CASE
Address:3303 AVE L Company: LINDQUIST PLUMBING
City: FORT PIERCE State:FL Address: 3185 SNEED RD
Zip Code: 34947 Fax: City: FORT PIERCE State:_FL
772-971-5368 – — - 3�•3�`�.qL(. Fax: 772-461-1999
Phone No. Zip Code:
E-Mail: Phone No, 772-461-1969
Fill in fee simple Title Holder on next page(if different E-Mail: LINDQUISTPLUMBING(;UMPANY(a–)GMAIL.C;OM
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.
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10/01/2018 09:00 Lindquist Plumbing 7724611999 1,10.817 #003
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DESIGNERANGINEER: 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;
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated-
I certlfythat no work or installatlon has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize thepermit 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-Lurie 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.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCIE COUNTY OF STLuCiE
The for oing Instrumen w s acknowledge before me The for o_ing i nst men w s acknowlecig efore me
this day of 20� by this day pf �20by
WADE CASE WADE CASE
Name of person making statement Name of person making statement
Personally Known xxxxxx OR Produced Identification Personally Known xxxxxx OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(siJoatbre of N :i 1r i t�GG 171078 (Sig atXPublid, 1%ea
t= WeohtlulW^S #GG 177076
�S; r27,2621
Commission No. •. •�T thea Commiss �d'sltPlliES:peOember27,�9,,�4al)
Public Uricl4m l's
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev-8/2/17