HomeMy WebLinkAboutBuilding Permit Application 09/21/2017 1:56 PM* FA% 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: C 2 1� Perm It Number:
RECEIVED SEP 211017
Me Mill
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 X Residential
PERMIT APPLICATION FOR: Electrical
,.PROP.OS�.D iMK"O.VEIWIENT::L—b.'j.OM.•:
Address: 7651 VPI RD, PORT ST LUCIE, FL 34987
Legal Description: 22 3637 ALI,SEC(OR608-2917)
Property Tax ID#: 3122-1110001-0002 Lot No.
Site Plan Name: Block No.
Project Name- __ T
Setbacks Front_:.. Back: Right Side: Left Side:
:DTAtL: D:rQESCRIRTION;'OF;IIU
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ORKr ':;
: ::: •:..:::.:• .. . :.:.::.. .4*
REPLACING DAMAGED RISER PIPE AND FEEDERS DAMAGED BY HURRICANE IRMA
C(}NSTR.UCTJON.:�l1t0..
'Additionalwork to be ertormed under this permit—check all appy:
HVAC Gas Tank []Gas Piping . CGenerator
Shutters. Windows/Doors
L .! pElectric Plumbing OSprinklers Roof Roof pitch
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:5 886.00 Utilities:12Sewer OSeptic Building Height:_
OW [ERjLESS. P. CTO
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... .r :••: ••
Name VERO PRODUCER,INC_ Name: JOHN M.APPLEBEE
Address: 7355 9th St.,SW Company: JAK, INC.d/b/a APPLEBEE ELECTRIC
City: Vero Beach State: FL Address: P.O. BOX 15
Zip Code: 32968' Fax: City, FT.PIERCE state: FL
Phone No_ R) 0.3—gSb9 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 constructlon is$2500.or more,a RECORDED Notice of Commencement is required.
09/21/2017 1:56 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.TITLEHOLDER: _Not Applicable BONDING COMPANY: ^Not Applicable
Name: Name:
Address: Address: T
City: City:
Zip:—__---.. Phone: Zip:..... Phone:
I certify that no.work or installation has commenced prior to the issuance of.?permit.
St.Lucie Count 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 full concurrency review:room additions,
accessory structures,swimming pools,fences,wails,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 No 'ce of Common
S '
Signature of caner essee/ o ra or as Agent for Owner ;TE
ture of ontractor/Lice e I e
STATE FLORIDA Q FLQRIDA
OF' ST.LUCIE OF ST.LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this2l day of 20 l�by thisV day of � _zo t`?by
JOHN M.APPL41E JOHN M.APNLEaeE
(Name of person acknowledging) (Name of person acknowledging)
Tn'k
(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. G0126946 ommission No. G0120946 I
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t Neta Public-StateoFF)oddaNomo .
• MMNS #GG 126946 Cummfsslcn:i G 1269,6
Revised 07/1.5/2014 ' ,Fnd ' Mycomm.ExplresJalz3,z@7 "y MyOmm,b;4-e 4:212021
Bonded through Man]Notary Assn, Eandntthroop•.tr-ra1 K=ryAssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS