HomeMy WebLinkAboutBuilding Permit Application 08/15/2017 4:30 PM FAX 7724663765 APPLEBEE ELECTRIC IM- 0002/0005
ALL APPLIC BLE NFO MUST BE COMPLETED FOR APPLICATION,TO BE ACCEPTED
Date: ) 1 Permit Number. ft, O vq
Building Permit Application AUG 16 20.17
Planning and Development Services _
Building and Code Regulation Division Lucie I I unty,
2300 Virginia Avenue,Fort Pierce FL 34982 5t. Lucie County, 1=L
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
:..PROPOSEQ._IMPROVE-MENT:-LOCATION':
Address: 7361 COMMERCIAL CIR
Legal Description: KINGS HIGHWAY INDUSTRIAL PARK-UNIT TWO-BLK B LOT 27(0.79AC)(OR3372-516)
Property Tax)D#. 1335-802-0049-000-9 Lot No.27
Site Plan Name: Block No, B
Project Name:
Setbacks Front Back: Right Side: Leff:Side:
DETAILED;D;ES'CR'IPTI:ON OF' WORK:
SERVICE CHANGE, SAME FOR SAME:400 AMPS, 3-PHASE
•:CONS !Cf' 0.'WN'EQii AT, ,,t`;�.t>,:...� �• �.,.�s
AciclitionalworKtOIDL%nertormecIuncler t IS permit—check all apply:
HVAC Gas Tank ❑Gas Piping _Shutters ❑,Windows%Doors
Electric ❑Plumbing ❑Sprinklers ElGenerator ❑Roof ❑❑ Roof pitch
Total Sq.Ft of Construction: _ .-. Sq. Ft.of First Floor:
Cost of Construction:$ 2,300.00 Utilities:[Sewer❑Septic Building Height:
:
' CONOWNRE .TRA'CTOR :.:+:::•.:.
ICY.
• T.
Name FRANCESCHI MARBLE AND GRANITE Name: JOHN M.APPLEBEE
Address: 7361 COMMERICAL CIR Company: JAK. INC-d/b/a APPLESEE ELECTRIC
City: FT.PIERCE State: FL Address: -P•O. BOX 15
Zip Code. 34951 - - Fax: _.. . City: FT.PIERCE State: FL
Phone No.(561)718-7308 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.
08/15/2017 4:30 PM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
°:SU.PP:LEII�EN.TAL.CON.S.TR•UCTI:ON•LIEN.LAW,.INFORMATION: ': : . ` `: :, ,::•;:::;'
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:
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 our Notice of Comme nt.
S
S' nature o wner Lessee C ntr ctor as Agent for Owner Si nature Contractor/ s Holder
STA FI.ORIl7A C L S OF COUNTY OF ARIDA s -
COUNTY OF �-_�''
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this) day of 20 1�by this_[Enday of QLLc_ 20 _)�7 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signat re of Notary Public-State of Florida)
Personally Known \,< OR Produced Identification Personally Known 1i OR Produced Identification
Type of Identification Produced Type of identification Produced______. .,
Commission No. l�-�'� � (seal) Commission NOGG Wb0'`4(,o (Seal)
is NotaryPu611c-State ofFlorlda s� i FlotaryPrrblic-Z2263+01
Revised 07/15/2014 -" commisslondGG126946 Commfssion
=S r` My0omm.NpiresA1129,2021 / Myromm.Exp
o roug REVIEWS FRONT ZC+NING $UPERVISp PIANS 1/EGETATI MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COM PLETE
INITIALS