HomeMy WebLinkAboutBuilding Permit Application 02/08/2018 5:17 PH FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ' Permit Number: 00 1)
Building Permit Application FEB 8 20
Planning and Development Services �8
Building and Code Regulation Division
2300 Virginla Avenue,Fort Pierce FL 34952
Phone:(772)462-1553 Fax: (772)462-1578 Co mercial X Residential
PERMIT APPLICATION FOR: Electrical
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Address: 5190-5198 TURNPIKE FEEDER RD.
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Legal Description: LAKEWOOD PARK-UNIT 12-A-BLK 171 LOTS 18, 19 AND 20(MAP 13/128)(OR 1756-1897)
Property Tax ID#: 1301-615-0079-000-9 Lot No.
Site Plan Name: I Block No.
Project Name:
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Setbacks Front Back: Right Side: Left Side:
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UNITS 5190, 5192, 5196, 519$: INSTALL EXIT/ER FIXTURES AT FRONT AND BACK DOORS.
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BLANK PLATES WHERE NEEDED, REPLACE PAINTED RECEPTACLES
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Additional work to be nertormed under this permit—c 'ec a appy:
HVAC LJ Gas Tank 1]Gas PipingShutters 0 Windows/Doors
ZElectric 11 Plumbing Sprinklers [_Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$-2,378.00 UtilitiesI 'n Sewer Septic Building Height.
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Name LAKEEWOOD PARK PLAZA,LLC Name. JOHN M.APPLEBEE
Address:8963 STIRLING RD,STE#1 Company: JAK, INC.d/bla APPLEBEE ELECTRIC
City: COOPER CITY State:FL Address: P.O. BOX 15
Zip Code. 33328 Fax: City: FT.PIERCE State: FL
Phone No.(954)990-9201 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.
02/08/2018 5:18 PM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
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DESIGNER ENGINEER: _Not Applicable hAOftTGAGE 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:
Add ress: Address-
City: City:
Zip:.__ Phone: zip_ Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 1 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 nonresidential 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
encing wophor recording our Notice of Commenc ment.
ignat a of Owner/L s e/Contractor as Agent for Owner Sign ture of Contract / cense Holder
T TE OF FLORIDA STATE OF FLORIDA
OUNTY OFsT.Luc!c COUNTY OF V.FUME
The forgoing instr rnent.was acknowledgpd before me The for oing instr ment was acknowledg before me
his day of ,'� �" 20 by his��iay of 20LI by
Namp of person aking statement Name of person Inaking statement
Personally Known OR Produced Identification Personally Known I—^OR Produced Identification
Type of Identification Produced Type of Identification
Produced
(signature of Notary Public-Sta gkww.A ' ature bf Notary Public-State of Florida)
�v`"'�P"•s, MEUSSAPARRAMORE
//�� �a�lotaryPublic-5tateofflorr a //�� [1 Y se MELISSAPARRAMORP
Commission No_gG i� CammisslanRGG1Z6996 Co mission Nal 7 , ryPubllc-State ofFlorid
= f My Comm,Pxpires1ur23,201 . COrnmission9GG126946
„S�.„`° Badvdt�roughNadonalNotaryA '�q� r` My
COm-ExpiresJuIZ1,202
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE' MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev_8/2/17