HomeMy WebLinkAboutbuilding permit� 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/18/2017 Permit Number:
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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: 280 LAMONT RD
Legal Description: 12 35 39 S 1/2 OF NW 1/4 OF NE 1/4-LESS W 47 FT FOR RD AND CANAL-AND E 295.17 FT OF ....
Property Tax ID#: 2312-123-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACING EXISITNG 100 AMP SERVICE-RISER AND METER CAN DAMAGED BY HURRICANE
I RMA: SAME FOR SAME
CONSTRUCTION INFORMATION:
Additional work to be Pertormed under this permit—check all hatapply:
HVAC Gas Tank Gas Piping Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: j Sc. Ft. of First Floor:
Cost of Construction: $ 13000.00 Utilities: Sewer. Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name SANFORD GIBSON Name: JOHN M.APPLEBEE
Address:280 LAMONT RD Company: JAK, INC. d/b/a APPLEBEE ELECTRIC
City: `FT PIERCE State: FL Address: P. O. BOX 15
Zip Code: 34947 Fax: City: FT. PIERCE State: FL
Phone No.(772)216-5114 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.
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SUPPLEMENTAL CONSTRUCTION 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 the permit holder to build the subject structure
which is in conflict with an 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,
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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 Commencement.
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S' 'nature of wner/Lessee/Con ra or as Agent for Owner Sig ature o Contractor/Licens .H Ide,
ATE FLORIDA. STA OF FLORIDA
CO Y O F ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this IS* day of 20 by this day of Vol— 20 by
JOHN M.APPLE136 JOHN M.APPLEBEE
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature 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. GG126946 awdbma ommission No. GG126946
� M LISSA PARRAMORE
� Y P�j MELISSA PARRAMORE ,.��oc�Y p��.;
Notary Public State of Florida Notary Public—State of Florida
* Commission 9 GCZ,26946
My Comm.Expires Jul 23,2021 °o My Comm.Expires Jul 23,2021 F
Revised 07/15/2014 ' OFF- '� ' OF;� � Bonded through National Notary Assn.
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