HomeMy WebLinkAboutBuilding Permit ApplicationAll 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 Pierce FL 34582
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xx
PERMITWPE: Plumbing
Address: 108 Ohio Street
Property Tax I D #: 3532-503-0056-000-4
Site Plan Name:
Project Name:
Replacing all sanitary piping in home
Lot No.8
Block No. 4
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters _ Windows/Doors
Electric X Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 9,000.00
NameAudra Curls
Address:108 Ohio Street
City: Ft. Pierce State:
Zip Code: 34952 Fax:
Phone No.
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 Road
City: Ft. Pierce State: FL
Zip Code: 34945 Fax: 772-461-1999
Phone N0772-461-1969
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.
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
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�jk LU64 E
COUNTY OF St. Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this tn. day of Myrc'p1h _. 20 .'lam, by
this 5 day of March 20, by
t14t>A6 `r
Wade Case
Name of person making statement.
Name of person making statement.
Personally Known &� OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- St o FI T1�i ,t Noiary PtihkC, S"Ee
FI°Ij atle of Notary Public- 'din MarielLovejod
grin Marie LoveinMy Cortcros9s�crn GG
Commission Na, G. lr��f3 •,, ea�j �r i:v`afl711 =7.1
55643 My Ca[n[ni.SBian GG 3$5643
Commisan No. GG355643 jp� ' 0 0711812023
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Rev. 2/7/3.9