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building Permit application
Jan.06.2021 12:41 PM Lindquist Plumbing Company 18884732963 J2093 P 1 All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1 © ` Date: 1/5/2021 Permit Nu 'LD - r.Lt1vt o �a -^ JAN: 2021 Building Permit ApplicatWrmitting Planning and Development Services Department Building and Code Regulation Division Commercial Re&W-gie County, FL 2300 Virginia Avenue,Fort Plerce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 PERMIT APPLICATION FOR: PROW:OSE0 I.MPRQVEMENT f.00ATION: Address. Property Tax ID#• 3415-504-0013-00-4 _ Lot No. Site Plan Name: Block No, Project Name: b.M-I-LED DESCRIPTION .0.1"WO".13K: Install new 50 gallon electric water heater with expnasion tank in garage New Electrical Meter Second Electrical Meter .CONSTRUCTION.I NFOR.M.ATI ON Additional work to be performed under this permit—check all that apply: _Mechanical —Gas Tank ,_ Gas Piping _Shutters —Windows/Doors _ Pond _Electric kPlurnbing ,,,,,,Sprinklers _Generator r,_ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$_ �_ .. . Utilities: —Sewer —Septic Building Height: OWN.E.RAESSEE: CONTRACTOR: NameJesus&Maria Morales Name; Address:6432 Las Palmas Way Company:Lindquist Plumbing&Supply Co., inc. City: Port St. Lucie, FI. State:_ Address:3185 Snead Load Zip Code: 34952 Fax; City: Port Pierce State:FL. Phone No. Zip Code: 34945 Fax:461-1999 E-Mail: Phone N0461-1969 Fill in fee simple Title Holder on next page{if different E-Mail lindquistplumbingcompany@gmall.com from the Owner listed above) State or County License CFC1428458 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. Jan-06-2021 12:41 PM Lindquist Plumbing Company 18884732963 #2093 P 2 A. V11" 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 an applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult w III 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 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 an attorney before commencing work or 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 at.Lucia COUNTY OF St,Lucle Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of Physical Presence or Online Notarization _x Physical Presence or_Online Notarization this 5 day of January 2020 by this 2—day of January 2020 by Name of person making statement. Name o?person making statement. Personally Known x OR Produced Identification Personally Known x OR Produced Identification Type of Identification Type of Identification Produced Produced 10VW- - stele public State 01 Florida Notary Pubs 011 Notary -OVeIpY %0 (Signature of Notar WFQ "yq i a (Signature of Notary P V0;i6V1P ah Commission No. (Seal) Commission No, (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU RTLE MANGROVE COUNTER REVIEW--- REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED I COMPLETE—D )ATI Rev.5/b/ZU