HomeMy WebLinkAboutELECTRIC - COMMERCIAL 11/06/2017 3:02 PM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED f�
Date: 11/06/2017 Permit Number:
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
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Address: 28170 ORANGE AVE
Legal Description: 25 34 37 N 40 AC OF E 112 OF W 112-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, 120/208V, 3-PHASE SERVICE IN THE NE CORNER TO OPERATE A 30HP
IRRIGATION PUMP.
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Additionalworko- e e Orme under this permit—check all appy:
1]HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing ❑Sprinklers 11 Generator ❑Roof Roof pitch
Total Sq. Ft-of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 2250-00 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 Stater 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)4663765
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.
11/06/2017 3:02 PD1 FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
I N
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Add ress:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 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 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 Commence t.
la"&` 26C S
Si=nature Owner/Lessee/Cqntgh ctor as Agent for Owner Si&ature f'contractor/Lice#Rblder
ST F FLORIDA =F FLORIDA
COUNTY OF ST,LUCIE COUNTYOF $T.LUCIE
The forgoing instryment was acknowledged before me The forgoing instruynent was acknowledge before me
W,
this U'� day of N 20 Alby this6 dayof by
JOHN M.APPL14E JOHN M.APPLEDEE
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signakure 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 Commission No. GG1259413 (5ealL
MEL55APARRAMORE
MELISSA PARRAMC)RE Z22 `°'""';y
o ora
Revised 07/15 MYCOM-EXPIFEshfl�2021
Commission I GG 126946 COMM[Micn 9 GG 126946
MY COMMFn,r .EXPIMN Jt'I 23,2021
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Bcn&d IhM49h NaWal Not.,yAssri, th'04F WON[Notify ksm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE