HomeMy WebLinkAbout5909 Papaya Dr - Permit NOTARIZED 08-17-2017ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/17/2017 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 Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION,
Address: 5909 PAYPAYA DR
Legal Description: INDIAN RIVER ESTATES -UNIT 9-BLK 88 LOT 21 AND N 1/2 OF LOT 22 (MAP 34/12S) (OR 3047-2021)
Property Tax I D #: 3402-610-0553-000-7 Lot No. 21
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
STRAIGHTENING AND RE -ATTACHING EXISTING METER CAN & RISER PIPE
Block No. 88
CONSTRUCTION tNF{}RMATtON:
Additional work toe erformed under this permit — check all apply:
HVAC Gas Tank Gas Piping In Shutters E]Windows/Doors
ZElectric � PlumbingSprinklers � Generator � Roof I I Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 610.00
S. Ft. of First Floor:
Utilities: Sewer Septic
Building Height:
OWN ER/L'ESEE:
CONTRACTOR:
Name CHRISTOPHER P O'NEILL
Name: JOHN M. APPLEBEE
Address: 5909 PAYPAYA DR
Company: JAK, INC. d/b/a APPLEBEE ELECTRIC
•
City. FT PIERCE State: FL
Address: P. O. BOX 15
Zip Code: 34982 Fax:
City: FT. PIERCE State: FL
Phone No. (772) 828-8134
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 LOW INFORMATION;
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Commission # GG 126946
Name:
Address:
$sit�'' ''
Address:
City:
State:
City: State:
Zip: Phone:
DATE
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
COMPLETE
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 apermit 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 recordinp, your Notice of Commencement.
Signatu e o caner L s a/Contractor as Agent for Owner
S E OF FLORIDA
COUNTY OF FLORIDA
The f rgoing instru ent was acknowledge before me
this ��'d�day of _� 20 acknowledged
MELISSA PARRA�QRE
(Name of person acknowledging)
(Sigriature of Notary Public- State of Florida }
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. GG 126946
"1% it Z;'�,�., MELISSA PARRAMORE
WO;:
Commission 0 GG 126W
Revised 07/15/2014 �:;.�� My Comm, Explrts Jul 23120;1
; Bonded througl+ Wenal .NOWY A$iN
s
=gnature f Contractor a se Holder
S F FLORIDA
COUNTY OF FLORIDA
The forgoing instrument was acknowledged before me
this0K" day of 20 1'% by
MELISSA PARRAMORE
(Name of person acknowledging)
+(Siatu�r�e of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
ommission No. GG 126946
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MELISSA PARRAMORE
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Notary Public - State of Florida
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Commission # GG 126946
MANGROVE
My Comm. Expires Jul 23, 2021
$sit�'' ''
Bonded through National Notary Assn.
REVIEWS
FRONT ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS