HomeMy WebLinkAboutBuilding Permit Application 09/21/2017 1:54 PH FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 09/21/2017 Permit Number: rl o�J o 3a9
WA A-•I L a a- RECEP.'TD SEP 2-12017
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)452-1578 CoMmercial Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED`.IM'PkOVtM.ENT'LOCATI'QN:..'.,.: -
.7
Address- 13650 ANGLE RD WEST
Legal Description: 3134 39 E 1/2=LESS S 80 FT AND LESS TO TRNPK AS IN OR 51-254 AND LESS AS IN OR 398-1096...
Property Tax ID M. 1331-111-0002-000-5 Lot No.
Site Plan Name: Block No.
Project Name_
Setbacks Front Back: Right Side: Left Side:
M.
':DETAILED D.ESCIPTION':.OF,:WORK:
.
BUILDING NEW 150 AMP ELECTRICAL SERVICE FOR 40HP FLOOD PUMP
�•CONSTRUCTI'0*'�IN*-.F *' ATONj
Additional work to b rformed under t ispermit–c he,,allappy:
HVAC Gas Tank []Gas Piping —Shutters a Windows/boors
ZElectric Plumbing Sprinklers 1 Generator L1 Roof Roof pitch
Total Sq.Ft of Construction: Sq_Ft.of First Floor.
Cast of Construction.$ 2,135.00 Utilities;Sewer Septic Building Height:
':QWIVE. LESSEES:.<.:. :.• .. .:,..•.. ..' ,.<, .. ��GaNTRACTOR •- • ' ... ;:;:.
Name INDRIO HOLDINGS,LLC Name: JOHN M.APPLEBEE
Address: 1626 90TH AVE Company. JAK, INC.d/b/a APPLEBErE ELECTRIC
City. VERO 85ACMState: FL Address- P.O. BOX 15
Zip Code: 32966 Fax: City: FT.PIERCE State: FL
Phone No.(772)370-1354 Zip Code: 349540015 Fax: (772)466-3765
E-Mail: Phone No. (772)466-7930
Fill in fee simple Title Molder on next page(if different E-Mail: APPLEBEEELECTRIC a@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.
09/21/2017 1:55 PM FAX 7724663765 APPLEBEE ELECTRIC C7] 0003/0005
.-SUPP'tE'lVfE1VT CONSTRICTION`LIEN Ir4W:.INFORIVIATIOiV:
AIS'
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:
Address: Address:
City: state: City: —State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name-
Addres"s: Address:
City: City:
Zip: Phone: zip: Phone: mm�
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 authorizethe 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.6uilding 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 financi suit with lender or an attorney before
co.mmeRiqing work or recordipg your Notice of Commen e'ment.
ff
�.
Signature of caner/Lessee/Contrac r s Agentfor owner 5i nature of C ntractor/License Hol er
ATE FLORIDA S TE O FLORIDA
�Q OF ST.LUCIE CO OF ST.LUCIE_
The for instrument was acknowledge before me The forgoing instrument was`acknowledged before me
thl �day of 20 acknowledged
this day of arm»L 20 by
JOHN M.APPLE9IEE JOHN M.APPLEBEE
(Name of person acknowledging) (Name of person acknowledging)
(Signa re of Notary Public-State of Florida) (Signatu a 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 mission No• GG1261346
•;,a�P"',5 MELISSAPARRAMORE MELISSAPARRAMOAE
NotaryPublk-StatebfFtpdd Notary Public-State ofFloAd
•
oF� ; My Camm.Expires�u123,2021 •oFCLo ' My COMM,UpiTsJV123,2021
Revised 07/15/2014 BandedOraughNaUaaalNetaryAmn BondeaNvpUgptretic,ylNOtaryAssn'
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER .REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS