HomeMy WebLinkAboutBuilding PermitAll APPLICA LE INFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ED C1N Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Plumbing
Address: 5201 Myrtle Drive
Property Tax ID #: 3402-608-0289-000-8
Site Plan Name:
Project Name:
Run Water line from house to meter
Building Permit Application
Commercial Residential xxxx
Lot No. 33
Block No. 48
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Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1000.00
Name Elizabeth McNamara Walker
Address: 2823 Stoneway Lane Apt A
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No. 772-216-2256
E-Mail:
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
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: 772-461-1999
Phone No 772-461-1969
E-Mail Mgryb@yahoo.com
State or County License CFC1428458
f value of construction is S2500 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.
T
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:
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."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF St Lucie
COUNTY OF StLucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 97th day of Mar 20_ by
this 17ih day of may 20_ by
Wade Case
Wade Case
Name of person making statement.
Name of person making statement.
Personally Known XXXXXXX OR Produced Identification
Personally Known XXXXXXX OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
••Y'•• 14 ELk9M A. GRYBMELI
SM A. GRYI
(Signaiture of Notary p DJi a b r27,2U21
ceded T>� Na! Pubic t MWM tars
Commission No. G G -
(Signature of Notary Pubi :' fIF;Uii@o�9MISSIDN#GG171078
l ri 4 LVIRES. December 27, 2021
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19