HomeMy WebLinkAboutAnders Permit Appl.All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/7/2021 Permit Number:
"'IF L F __111 `7, ,
�t° ' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 _
PERMIT APPLICATION FOR: Judith Anderson 772-460-6938
PROPOSED IMPROVEMENT LOCATION:
Address: 505 Savannah Street _
Property Tax ID ff: 3402-603-0100-000-5 Lot No.
Site Plan Name: _ Block No.
Project Name: Anderson
DETAILED DESCRIPTION OF WORK:
Install new 30 gallon water heater ZC C7 %L,C 1A11-1
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION: I
Additional work to be perform;.d under this permit — check all that apply:
Mechanical _Gas Tank _Gas Piping _,Shutters Windows/Doors Pond
_ Electric _ Plumbing _Sprinklers _Generator _ Roof Pitch
Total Sq, Ft of Construction: —_
Cost of Construction: $ 1,200.00
Sq. Ft. of First Floor.
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
C'ONTRACTOR: _
Name Judith Anderson
Name: Wade Case
Address: 505 Savannah Street
Company: Lindquist Plumbing R Supply Co., Inc.
_
City: Fort Pierce, FI. State:
Zip Code: 34982 Fax:
Phone No.460-6938
Address: 3185 Sneed Road
City: Fort Pierce State: FI
i_ip Code: 34945 Fax:
Phone No772-461-1969
E-Mail:
_
Fill in fee simple Title Holder oa next page ( if different
from the Owner listed above)
E-Mail lindquistplumbingcompany@gmail.com
State or County License CFC1428458
If value of construction is 2500 or more, a RECORDED Note or Commencement is requoeo.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAIL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:_
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 Countyy 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 concurrenry 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 attorneybefore commencingwork or recorch 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 OF st.Uma
COUNTY OF st.waa
Sworn to (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization
this 7rh day of May 2021 ,2020 by
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or _ Online Notarization
this nh day of May 221 ,2020 by
Wade Case
Wade Case
Name of person making statement.
Name of person making statement.
Personally Known • OR Produced Identification
Type of Identification
Produced
Personally Known • OR Produced Identification
Type of Identification
Produced
-�•
`
(Signature of Notary Public- State of Florida )
(Signature of Not Py '..- St�(Whar�tmtjaof Florida
f Michelle Trotta
Commission No. MycommissiolAH 101604
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Commission No. e
tery Public too f Florida
+► 1• Michelle Trotta
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
PLANS
REVIEW
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Expires 03/07Y202
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DATE
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