HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/27/2017 Permit Number:
------ .......... ... ................. ... . 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 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 5180 TURNPIKE FEEDER RD
Legal Description: LAKEWOOD PARK -UNIT 12-A- BLK 171 LOTS 18,19 AND 20 (MAP 13/12S) (OR 1756-1897)
Property Tax ID #: 1301-615-0079-000-9
Site Plan Name:
Lot No.
Block No.
RESECURING EXISTING SERVICE TO WALL. REPLACING (2) BROKEN METER CAN HUBS AND
WEATHERHEADS. REPLACING FEEDERS IN (2) RISERS.
CONSTRUCTION INFORMATION:
Additional work tobe rtormed under this permit — check all apply:
F]HVAC flGasTank Gas Piping Shutters ❑Windows/Doors
ZElectric Plumbing Sprinklers Generator Roof I I Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 21000.00
t S. Ft. of First Floor:
Utilities: n Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name LAKEWOOD PARK PLAZA, LLC
Name: JOHN M. APPLEBEE
Address: 8963 STIRLING RD STE 1
Company: JAKI INC. D/B/A APPLEBEE ELECTRIC
City: COOPER CITY State: FL
Address: P. O. BOX 15
Zip Code: 33328 Fax:
City: FT. PIERCE, State: FL
Phone No.
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 LAIN INFORMATION:
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
VEGETATION
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone:
REVIEW
Zip: Phone:
DATE
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
COMPLETE
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 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 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
commencinp,worK or recorainp, vour INotice or commencement.
Si nature o Owner/Lessee/Co tr ctor as Agent for Owner
STATE OF FLORIDA , t
COUNTY OF
The forgoing instrument was acknowledged before me
thi�P day of 20 aby
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Revised 07/15/2014
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thi522]� day of 20 by
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