HomeMy WebLinkAboutBuilding Permit Application 09/14/2017 3:18 PM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST OF COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/14/2017 Permit Number: ri
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RECEIVE
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Building Permit Application SEP 14 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
P.ROPOS: DfM'PRUTRE
NT=I,OCi4TlaN:''•. ,
Address: 3309 OLEANDER AVE
Legal Description: INDUSTRIAL,SID BEG AT PT 20.2 FTS OF NW COR LOT 9 RUN ELY 498.69E TO PT ON E LI LOT 9...
Property Tax ID#: 2428-502-0011-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side:..__ . Left Side:
DETA1LEDaDESCRI:PTI,O;N:OF'-1h/OR'.K
REPLACING EXISTING WEATER HEAD DAMAGED BY HURRICAN 1RMA: SAME EOR SAME 200
AMPS
TRUCTON fNNN OF AT10..
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ltiona wor to e e orme under tispermit—c—011 111.1 appy:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric L1 Plumbing Sprinklers Generator ❑Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 200.00 Utilities:ll Sewer ElSeptic Building.1Height-
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Name CHARLES RALSTON Name: JOHN M.APPLEBEE
Address:265 TROPIC DR Company: JAK,INC.dib/a APPLEBEE ELECTRIC
City: LAUDERDALE State_ FL Address: P.O. BOX 15
33308 City: FT.PIERCE State: FL
Zip Code: Fax- _
Phone No.(954)292-6192 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: APPLESEEELECTRICQBELLSOUTH.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.
09/14/2017 3:18 PM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
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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 Countymakes 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 Commence t.
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5' nature of caner/Lessee/ o r as Agent Mir Owner nature o ontractor/0censVR4fder
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STLUCIE
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The for The forgoing instrument was acknowledgebefore me
going instrument was acknowledged before me
this jj'�day of ;5p _ 20 !Lby thislA day of 20
by
MELISSA PARRAIkIORE MELISSA PARRAMORE
(Name of person acknowledging) (Name of person acknowledging)
(Signatdre of Notary Public-State of Florida) (5ignatue of Notary Public-State of Florida
Personally Known x OR Produced identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. OG126946 U"Jeal MELISSA PARRAMORE ommission No. GG126946 ($ alkLISSAPARRAMORE
)fFI] Notary PubIle—state of FladdlIa
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Notary Public—State of Florida
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