HomeMy WebLinkAboutpermit application 11/06/2017 3:00 PbI FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n
Date: 11/06/2017 Permit Number: v `sl
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Building Permit Application'
Planning and Development Services
,Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 3498.2
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
.PR(7P65t. :II ..PR01MM'EN:T'
Address: 28160 ORANGE AVE
Legal Description: 25 34 37 N 40 AC OF E 112 OF W 1/2-LESS E 32.74 FT AND LESS N 100FT-(MAP 11/25X)(OR 3929-2409)
Property Tax ID#: 1125-211-0002-000-9 _.._ Lot No,
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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BUILD NEW 200 AMP, 1201240V, SINGLE PHASE SERVICE IN THE SE CORNER TFOR
AGRICULTURE STORAGE BUILDING.
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Additionalwork to be]rtormed under this permit—check all appy: r
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers ❑Generator Ll Roof Roof pitch
Total Sq. Ft of Construction: S -Ft.of First Floor:
Cost of Construction:$ 2,145-OQ Utilities.. Sewer Septic Building Height:
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Name MOHAMED J MONIR Name: JOHN M.APPLEBEE
Address:950 E 59TH ST Company: JAK, INC.d/b/a APPLEBEE ELECTRIC
City: BROOKLYN State:NY Address: P.O. BOX 15 _
Zip Code: 11234-2520 Fax:_.__. City. FT_PIERCE State: FL
Phone No_(772)201-2680 _ 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: RG#0002956
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11/06/2017 3:00 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 County makes no representation that is granting a permit will authorize theermit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules,bylaws or angcovenants 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 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 Commencemeril—
Tiatureof �un6r/Lbsse6/Co�n-tqacIForasrgdnl-for— %W-n—er Sig ture Contra ctor/Licen s 0
=FLORIDA STA
FLORIDA
COUNTY OF ST.LUCIF COUNTYOF 5T.Luc1E
The forgoing inst ment was acknowledged before me Th forgoing instrqment was acknowledged before me
this day o R, this T
izl:�_ t�*ZN_vl\a� 20 s_dayof 20 by
JOHN M.APPLESilEE-E JOHN M,APPLESEE
(Name of person acknowledging) (Name of person acknowledging)
(Signaure of Notary Public-State of Florida) (Signat6re 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
ME
03120940 .155A PARRAMORE C mmission No. GG126946
Commission No. ORE
�of
m4taryPubllc-Stateof Pori& "9914SAPARRAMOREN
=,,i an 4,7 GC Notary Fribilc-State of Fforida
M J,,1126W
Sorded thmugh Nhiarbl NpraryAyjn, MY Comm,Expire5 JU11 23,2021
Revised 07/15/2014 1 W '"Pe-lBonded thtough Npligml lvotaryAsft.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS