HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/24/2017 Permit Number:
7C
F L O R 1 D A --•-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 7903 BANYAN STREET
Commercial Residential V.
Legal Description: LAKEWOOD PARK - UNIT 3 - BLK 19 LOT 22 (MAP13/14N) (OR 307-1813)
Property Tax ID #: 1301-603-0083-000-3 Lot No. 22
Site Plan Name: Block No. 19
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
PANEL UPGRADE: SAME FOR SAME, 150 AMPS
Haaitionai worK to oe errormea
E1HVAC _ Gas Tank
ZElectric ❑ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1,100.00
unaer tnis permit – cne
E]Gas Piping
OSprinklers
aii apply:
_ Shutters
ElGenerator
S. Ft. of First Floor:
Utilities: — Sewer Septic
E:]Windows/Doors
❑ Roof
Building Height:
OWNER/LESSEE:
CONTRACTOR.
Name ROBERT YOUNG, BETTY YOUNG
Name: JOHN M APPLEBEE
Address: 7903 BANYAN STREET
Company: JAK INC. D/B/A APPLEBEE ELECTRIC
City: FT. PIERCE State: FL
Address: P. O. BOX 15
Zip Code: 34951 Fax:
City: FT. PIERCE State: FL
Phone No. (772)465-2729
Zip Code: 34954-0015 Fax: (772) 466-3765
E -Mail:
Phone No. (772) 466-7930
Fill in fee simple Title Holder on next page ( if different
E -Mail: APPLEBEEELECTRIC@BELLSOUTH.NET
from the Owner listed above)
State or County License: EC #0002956
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Ad d ress:
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:
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 thepermit 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of CommencemeftL
gnature f Owner/ Lessee/
ture of 4tontractdrA_icen
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CO TETY OF FLORIDA .,%'STACOU
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Thefor ging instrument was acknowledged before me
this* -day of 009&44 201 -1 -by
(Na e f rson acknowl ing )
(,� r
(Sig re of Notary Pu - State of Florida )
y epep of Identifi :l -d
Traicie L Lamb
Commission N My Com�Mssion F 3
ExPires �r25/2o2
Revised 07/15/2014
The forgoing instrument was acknowledged before me
thi��� day of _ , 20 1 '_J by
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(Name,61ple,rson acknowleV§ing )
(Sig`�e of Notary PuVic- State of Florida )
ers u� c
Type of Identi
My Conwftgon FF 947883
Commission _ a►R Ex*"1D /2SQ020 (Seal)
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FRONT
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PLANS
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MANGROVE
COUNTER
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