HomeMy WebLinkAboutBuilding Permit Application 10/25/2017 4:04 PM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/25/2017 Permit Number:
sn, .....�._ RECEIVED_
Building Permit Application OCT 2 5 2017
Planning and Development Services
PERMITTINGBuilding and Code Regulation Division
St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34952
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical —I
PROPOSED I!MPROVEMfNT'LOCATION:
9 r.tail,
Address: 116 HARRIS ST
Legal Description: B•S.HARRIS'S/D BLK 3 S 100 FT OF LOTS 13 AND 14 AND 2 2.2 FT OF S 100 FT OF LOT 15(OR 3803-1991)
Property Tax ID#: 3532 503 0041 000 6 Lot No.
Site Plan Name: Bfock No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DE$-eR'IPTION'OF:WORK:
ilr;F Mit .4r;C3'V.ti
INSTALL TEMPORARY CONSTRUCTION SERVICE
Cc to
CONSTRUCTION II 'FOfRN)A,�IOIN
Additionaf work to bfftormed under this permit—check all that appy:
HVAC Gas Tank E]Gas Piping _Shutters F]Windows/Doors
Z✓ Electric L1 Plumbing Sprinklers 11 Generator 11 Roof Roof pitch
Total Sq. Ft of Construction: Ft.of First Floor:
Cost of Construction: $ 1,750-00 UtilitieS�SewerSeptic Building Height:
OWNER/LESSEE:
Name MARK&KELLY MCELWEE Name: JOHN M.APPLEBEE
Address:232 SW FAIRCHILD AVE Company: JAK, INC.d/b/a APPLEBEE ELECTRIC
City: FORT ST LUCIE State: FL Address: P. O.BOX 15
Zip Code: 34984 Fax: City: FT. PIERCE State: FL
Phone No.(772)343-9781 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.
10/25/2017 4:04 PM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
SUPPLEMENTAL CONSTRUCTION.LIEN LA-W 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 thepermit 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 job-site
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.
L�J A ) 0r_vV1,1Le( (;:�AA� d�Z�c s
SUn f Owner/Lessee/C r clot as Agent for Owner Si nature o ontractor/kens der
S FLORIDA STA FLORIDA
COF bTLUC1E COUNTY OF 3TLUCIE
The for oing instr ment was acknowledge before me The forgoing instrument was acknowledged before me
thiv?S day of � 20)„_by this:�",day of�ic. bea,, 20 L by
JOHN M,APPLEdEE JOHN M.APPLESEE
(Name of person acknowledging) (Name of person acknowledging)
(Signature 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. GG7z8945 cion No. GG128946 (Seal)
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