HomeMy WebLinkAboutBUILDING PERMIT APPLICATION02/25/2019 11:28 LincT` :t Plumbing r: 4724911899
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02- ' Permit Nur
SCANNED
BY
St. Lucie Cnlinty
- - Building Permit Appl
Planning and Development Services
Building and Cade Regulation Division
2.900 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial xxxxxx
H0.078 #002
d4/'TJ
Property Tax ID ff: 130161500790009 Lot No.
Site Plan Name: Block No.
Project Name: Soft Swirl Ice Cream Parlor
Run Water Lines, drain lines for owners 3 compartment sink & hand sink.
Additional work to be performed under this 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: $ 2.000.00 Utilities: _Sewer _Septic
_ Windows/Doors
Roof Pitch
Building Height:
gy
Name Robert Campton
Name: Wade Case
Company: Lindquist Plumbing
Address:5180 Turnpike Feeder Rd
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No. 772-370-6903
Address: 3185 Sneed Rd
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 772-461-1999
Phone No 772-461-1969
E-Mail: Robericumpton@comeasl.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail Lindquistplumbingcompnay@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.
02/25/2019 11:28 Lind,m-i�t Plumbing �, 1724611999 HO.076 #003
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DESIGNER/ENGINEER:
_,.Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name,
Name:
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone,.
State:
FEE SIMPLE TITLEHOLDER:
_Not Applicable
BONDINGCOMPANY:
_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.
Sl. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject s�ucture
which is in conflict with any applicable Home Owners Association rules, bylaws or an covenants that may restrict or pro Nit 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, swirrnning pools, fences, walls, signs, screen morns 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
of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OFsr L.f.
The forgoing instrument was acknowledged before me
this 2� day of kbmary , 2011 by
STATE OF FLORIDA
COUNTY OF sL wd.
The forgoing instrument was acknowledged berore me
this acm day of ee"wT 2019 by
14-P—Oas-r., V1 I w6&-0bs&,VP
Name of person making statement. Name of person making statement.
Personally Known xxxxxx OR Produced Identification
Personally Known xxxxxx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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to Of No PUblic-
Commission No. r7C17mmT-1111-It"'.0,
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