HomeMy WebLinkAboutBuilding Permit Application -Sep.28.2020 12:46 PM Lindqu ,Pj ing Company lea 4732963 $1411 P 1
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2 Z
Permit Number:
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Building Permit Application
Planning and Development Services Residential
Building and code'Regulation Division Commercial
2300 Virginia Avenue,Fort Pierce FL 34962
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR' \,J q��C
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Address: 6002 Cassia Drive
Property Tax Ill 4:
3402-610-0467-0007 Lot No-7
Block No. 66
Site Plan Name:
Project Name' Duncan
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Install new 40 gallon water heater with expansion tank and Repipe all hot and cold water lines In house with Uponor pax piping
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Additional work to be performed under this permit–check all that apply:
Mechanical _ Gas Tank Gas Piping _Shutters _Windows/Doors _Pond
_Sprinklers Generator Roof Pitch
_Electric ,yPlumbing --
Total Sq. Ft of Construction: Sq.Ft. of First Floor:
2350 Utilities: Sewer Septic Building Height:
Cost of Construction:$ —•
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Don Duncan Name:Wade Case
Name
Address-6002 Cassia Drive Company:Lindquist Plumbing&Supply Co., Inc.
Fort Fierce State: z Address.3185 Sneed Road
City: City: Fort pierce State.FI
54982 Fax:
Zip Code:
Phone No,370-7437 Zip Code: 34945 Fax:461-1999
Phone N061-1969
E-Mail: compan mall-com
Fill In fee simple Title Holder on next page{if different F-Malllindqulst plumbin gCFC14 8�8
from the Owner listed above) State or County license
If value of construction is 2500 or more,a RECORDED Notice of commencement is required.
if value of HAVC Is$7,500 or more,a RECORDED Notice of Commencement is required.
Sep.28.2020 12:46 PM Lindquist Plumbing Company
18884732963 #1411 P 2
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State:r CIty., State:
Zip: Rhone Zip: Phone:
FEE.SIMPLE TITLE MOLDER: 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 orilttstallation has commenced prior to the issuance of a permit.
St. Lucie Count
yy makes bio representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conf:ictwith any applicable Nome Owners Association rules,bylaws or and covenants that may retrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions whic�i 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 pians,the Florida Building Codes and St.Lucie County Amendments.
The following building Oermit 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 paying twice for
Improvements to your property.A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the Jobsite before the first Inspection. If you Intend to obtain financing, consult
with lender or ah 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 012muicio. COUNTY OFst.Lucie
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
x Physical Presence or Online Notarization x Physical Presence or Online Notarization
thisfll day of saa*bor ,2020 by W4P C4 this fitfi day of suptomber 2020 by k/,j DC` l s
Name of person making statement. Name of person making statement.
Personally Known x . OR Produced Identification Personally Known x OR Produced identification
Type of Identiflcatioti Type of Identification
Produced Produced
(Signature (Signature of Notary Public- public suteaR
grin Marie LovFran Ma LdveIOY
Commissio MyComm:eei uze�ar it Commission No. �c taslanGG ad"Al
AAAAAOSAANOSAAAa
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED .
ev.