HomeMy WebLinkAboutBuilding Permit AplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/14/2017 Permit Number:
6-
BuildingApplicationPermit
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
P R O -10 E f M--,-P__1,R','�O�.E'M; E N`T .LO CATI O N
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Address: 2657 SENECA AVE
Legal Description: SAN LUCIE PLAZA S/D-UNIT ONE- BLK 48 LOTS 17 AND 18 (MAP 14/33N) (OR 195-2026)
Property Tax I D #: 1428-702}-1022-000-9 Lot No. 17, 18
Site Plan Name: Block No.
Project Name:
Setbacks Front Bac t Side: L
Back: Righ ide eft Side
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T/ 1 I .. _. _- I . 4 WORK:'.
REPAIR EXISTING 150 AMP SERVICE MAST DAMAGED BY H U RRI CAN I RMA: SAME FOR SAME
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N STS UC�I:O,.N ,�,N_�O.R:.M �O•N . .
it�ona work toe er orme un er t is permit �c ec a app y: -
EIHVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
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Total Sq. Ft of Construction: f S . Ft. of First Floor:
Cost of Construction; 210000
�,.Utilities: Sewer Septic
Building Height:
0 N ER .. �.... -
IVTIA.ACTO.R_ ,
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Name SHIRLEY T CALHOUN
Name: JOHN M. APPLEBEE
Address: •2657 SENECA AVE
Company: JAK, INC. d/b/a
APPLEBEE ELECTRIC
City: FT. PIERCE State: FL
Address: P. O. BOX 15
Zip Code: 34946 Fax:
City: FT. PIERCE
State: FL
Phone N o . (772) 332-7018
Zip Code: 34954-0015
Fax: (772) 466-3765
E -Mail:
Phone N o . (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.
SUP'P.LEMENTAL.CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
My Comm. Expires Jul 23, 2021
Address:
Address:
REVIEW
City: State:
City.
State:
Zip: Phone:
p
Zip. Phone.
DATE
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City'
cfty:
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
commencing work or recording your Notice of Commencement.
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Signature of/Own er/Less ee/C:5n1raEtor as Agent for Owner I Si (nature of Contractor/License�Icifder
STATCOF FLORIDA �Q ST)cT-&0'f FLORIDA
COUNTY OF COUNTY OF �Q-
The forgoing instrumnt was acknowledged before me
this N1�1 day of 20 \� by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.�
The forgoing instrument was acknowledged before me
this �'��dayof ��- 20 1� by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
.9nmmi-qginn NnO�"i%i,`14(
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�`'`"lYp''' ' • MELISSA PARRAMORE
MELISSA PARRAMORE
Notary Public - State of Florida
Notary Public - State of Florida
• • =Commission
# (36 126946
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Revised. ''`°F
07/15/2014
My Comm. Expires Jul 23, 2021
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Bcrded through National Notary Assn.
The forgoing instrument was acknowledged before me
this �'��dayof ��- 20 1� by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
.9nmmi-qginn NnO�"i%i,`14(
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�`'`"lYp''' ' • MELISSA PARRAMORE
FRONT
Notary Public - State of Florida
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My Comm. Expires Jul 23, 2021
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Borded through National Notary Assn. .
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