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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Fierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: Plumbing
Address: 8481 Florence Drive
Property Tax ID #: 3426-664-0046-000-1 LA BUONA VITA COOPERATIVE UNIT
Site Plan Name:
Project Name:
Residential xxxx
Lot No. 46
Block No.
Name Linda E Turney
Address: 2932 SE: Dalhart Rd
City: Port St Lucie State: f
Zip Code: 34952-5845 Fax:
Phone No. 772-485-8678
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Wade Case
Company: Lindquist Plumbing
Address: 3185 Sneed Rd
City: Fort Pierce State: FI
Zip Code: 34945 Fax: 772461-9999
Phone No 772461-1969
E -Mail Lindquistplumbingcompany@gmail.com
State or County License CFC1428458
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.
DESIGNS
Name:_
Address:
City:
Zip:
GINEER: _ Not Applicable
Phone
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
State:
BONDING COMPANY: Not Applicable
Name:
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.
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 RECORDING YOUR NOTICE OF COMMENCEMENT."
l_t0L*, 1010 � 0>4 ; Ltvl� c� L)i ST` 0 Li -w -L0 H i
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Halder
STATE OF FLORIDA
COU NTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this 28TH day of FEBRUARY 2019 by
WADE CASE
Name of person making statement.
Personally Known xxxxxxxx OR Produced Identification
Type of Identification
Produced
M&k&SA A. GRYB
NEXII
(Sigfiatlure of Notary Public- vai
FXPCommission No. + 71 ITrIN NTLI �M ^'
STATE OF FLORIDA
COUNTY OF STLUCIF
The forgoing instrument was acknowledged before me
this 28TH day of FEBURARY 2019 by
WADE CASE
Name of person making statement,
Personally Known - OR Produced Identification
Type of Identification
Produced
of Notary
No.
01 Mm1$Sm 8 GG 171018
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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. 211119
IP
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982
772-462-1553
FAX 772-462-1578
AUTHORIZATION FORM FOR CREDIT CARD PAYMENT
TO: St Lucie County
RE: _-_...:
Permit
Credit Card Users: I.5016 Surcharge added per transaction.
Payments must be received in this department by 4:00 PM for transaction to be
processed that day, if not it will be processed the following business day.
VISA MASTERCARD
Credit Card Number q2D'
E=xpiration Date.. _ _ w_ _ Zip Code
3 digit security code.w
Amount + 1.5% surcharge
Business Name:�u'
Authorized S'
Print Name:
Phone::)_7;
Fax.
Comments: o
SLCPDSD Revised 4/01/2010 Eft