HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLET�D FOR APPLICATION TO BE ACCEPTED
Date: 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) 462 578 Commercial
Residential X
PERMIT TYPE: PLUMBING
'
Address: 7006 Hibiscus Road
PropertyTax ID #: 1301-613-0155-000-0 Lot No.
Site Plan Name: Block No. 144
Project Name:
II 40 GALLON ELECTRIC WATER HEATER INSTALL
Additional work to be performed under his permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric Plumbing Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 800.00 Utilities: -Sewer _Septic
Windows/Doors
Roof Pitch
Building Height:
3 i3irii'si.
� (F1'+PE"it
Name Janella Harbin
Name: Wade Case
: Lindquist Plumbing
Company:
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Address, 7006 Hibiscus Rd
State: VL
Address: 3185 Sneed Road
City: Fort Pierce
Zip Code: 34951 Fax:
City: Fort Pierce State: FL
Phone No. 772-465-4662
Zip Code: 34945 Fax: 772-461-1999
Ige { if different
E-Mail:
Fill in fee simple Title Holder on next p
Phone No 772-461-1969
E-Mail lindquistplumbingcompany@gmail.com
State or County License CFC1428458
from the Owner listed above)
If value of construction is 52500 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.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
Not Applica
State
Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 cam enced 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 O ners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this reque ted 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, fence , 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
WIT14 YAl1R I FiwnFR OR AN ATTAR EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_31
Signature of Owner/ Lessee/Contractor as dgent
for Owner
Signature of Contractor/License Holder
STATE OF FLO DA
STATE OF FLOR DA
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COUNTYOF . e"ke,
COUNTY ) . LuC[ 0-
The forgoing instrument was acknowledged
before me
The forgoing instrument was acknowledged before me
this j_�p_ day of I 20
by
this _qg_ day of 20n by
Name of person making statement.
Name of person making statement.
Personally Known �2 _ OR Produced Id
ratification
Personally Known '�O OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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DATE
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DATE
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