HomeMy WebLinkAboutBuilding Permit Application 11/17/2017 11:48AM FAX 7724663765 APPLEBEE ELECTRIC 0002/0004
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/17/2017 Permit Number:
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Building Permit Application
Planning and Development Services NOV 17 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce F4 34.982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED;:�MPROVEI'ViE'.NT
Address: 28166 ORANGE AVE, FT. PIERCE,FL
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 11125X)(OR 3929-2409)
Property Tax ID 4: 1125-211-0002-000-9 _ Lot No._.____-____.,...-_ .
Site Plan Name: Block No.
Project Name:
Setbacks Front _.- Back:. Right Side:- Left Side:
-DETAILED:0,8CRIPTI0.N•.0F�W9RK: a-
BUILD A NEW 100 AMP, 120/240V, SINGLE PHASE ELECTRICAL SERVICE ON THE EASTERN
MIDDLE SIDE OF THE PROPERTY FOR A 10 HP IRRIGATION PUMP.
CONSTR.UCT.ION I.N.FQR1VI4TI.ON:
Additional work to be ingrtormed• under this permit—t all appy:
HVAC Gas Tank ❑Gas Piping _Shutters l__I Windows/Doors
Electric ❑Plumbing Sprinklers Generator 171 Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ ,�15. 0 J Utilities:Sewer Septic Building Height:
I
OWNERCO'IVT ACl'Q'R :, :..•
Name MOHAMED J MON1R Name: JOHN M.APPLEBEE
Address: 950 E 59TH ST Company: JAK, INC.d/b/a APPLEBEE ELECTRIC
City: BROOKLYN State: FL Address: P.O.BOX 15
Zip Code: 11234-2520 Fax: City: FT. PIERCE State: EL
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 a@BELLSOUTH.NET
from the Owner listed above) State or County License: EO#0002956
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
11/17/2017 11:48MI FAX 7724663765 APPLEBEE ELECTRIC 0003/0004
W I Nf ORMATION
-SUPPLEMENT.
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Add ress: 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.Lucia 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
co cin work or recording your Notice of Commencement.
r- s
re wne e ee/CMIFT as Agent for owner S- nature h Contractor/License fioyder
5 n2 L' LATE F FLORIDA
C O TE FLORIDAFL RIDA
0 6T Luc CO TY
F 1E CO TY OF sr.LUCIE
The Ding instrument was acknowledged before me The forgoing instruynt was acknowledged before me
for
of N 20 Lby tl� -Ak
this I� thisAh—dayof Nbw r,— ,20 A by
JOHN M.APPLEFIr-E JOHN M.APPLESEE
(Name of person acknowledging) Name of person acknowledging
mo"
(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. OG126940 — — — — — — 00126946
MELISSAPAR ORE mmission No. JAP:1RAM01
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Notary PublIc-=ataf Pledda MELISSA PARRAMORE
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sanded thmu9b Netidni Mari Assn.
Revised 07/15/2014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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