HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/15/2018 Permit Number:
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BuildingApplicationPermit
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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R�Roi �r�n�EocT�ozs - ,s r
Address: 19101 1NDRIO RD
Legal Description: PLAT OF INDRIO GROVES BLKS 123 133 14; 15, 16, 17, 18, 19 AND 20 (118.88 AC) (OR 3562-611; 3822-2623)
Property Tax I D #: 1214-701-0012-000-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
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a D',E R /' U�jE�I�O�. ����..:'V 1.♦ j ��,S.POy'i �. 0Zvi 0.i.';s.
Lot N o .
Block No.
REBUILD EXISTING 150 AMP, 3-PHASE SERVICE FOR 40HP FLOOD PUMP DAMAGED BY
HURRICANE IRMA.
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Additional work to be in rtormed under
HVAC Gas Tank
this permit-- checF—all
Gas Piping
that appy:
Shutters
Windows/Doors
City: VERO BEACH State: FL
Address: P. O. BOX 15
❑RoofElectric Plumbing
City: FT. PIERCE State: FL
Phone No. 772-595-2423
Sprinklers
E -Mail:
Generator
Fill in fee simple Title Holder on -next page ( if different
E -Mail: APPLEBEEEL`CTRIC@BELLSOUTH.NET
from the Owner listed above)
Roof pitch
P
a
Total Sq. Ft of Construction:
Cost of Construction: $ 21395.00
t S . Ft. of First Floor:
Utilities: Sewer. 1:1Septic
Building Height:
0'W/` '�'i 4
4 •
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Name KEVIN BYNUM FARMS LLC
Name, JOHN M. APPLEBEE
Address: 7 ROYAL PALM PT
Company: JAK, INC. d/b/G APPLEBEE ELECTRIC
City: VERO BEACH State: FL
Address: P. O. BOX 15
Zip Code: 32960 Fax:
City: FT. PIERCE State: FL
Phone No. 772-595-2423
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: APPLEBEEEL`CTRIC@BELLSOUTH.NET
from the Owner listed above)
State or COUn"Ey � icense: EC #0002956
If value of construction is $2500 or more, a RECORDED Notice of Commencement is require6.
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DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY.- Not Applicable
Name:
(Signalure of Notary Public -State of Florida)
Name:
Address:
Address:
city:
State:
City: State:
Zip: Phone:
P�.,,", MELISSA PARRAMORE
,' ° e��'�
12 946 - ? �� - NotaryPublic—StateofFlorida
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
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 the peri-ni.c holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and ccvenants 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 Arnesidimien.Ls.
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 a4 -.-other I ion-residential,use
WARNING TO OWNER: Your failure to Record a Notice of Cornmencenie t unay resuG' id'i 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
. comp;r in2 work or recordin2 vour Notice of Commencena�.
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Sig.'ature of Owner/ Lessee/Con ra for as Agent for Owner Sign ture of Contractor/License Ho er r
STAU FLORIDA.
COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me
this � day of , 2018 by
JOHN M. APPLEBEE
Namle of person making statement
Personally Known X OR Produced identification
Type of Identification Produced
r•
TATS FLORIDA
O U NTY OF ST. LUCIE
The forgoing instrument was acknowledged before me
this P�ay of �� �2018 by
JOHN M. AF`°rPLE3EE
Name of person malting statement
Personally Known _ OR ?roduced Identification
Type of Identification
Rev. 8/2/17
A
(Signalure of Notary Public -State of Florida)
(Signature f Notary Public - State of;
MELISSA PARRAM�
Commission No.
P�.,,", MELISSA PARRAMORE
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12 946 - ? �� - NotaryPublic—StateofFlorida
Commission NO. GG126946
= '
Notary Public --State of
Commission 4 GG 12e
• • = Commission # GG 126946
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My Comm. Expires Jul 2
moo; My Comm. Expires Jul 23 2021
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National Notary AM.
REVIEWS
FRONT
ZONING
SUPERViSO
PLANS
VEGETATION
SE'A TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
f
COMPLETED
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Rev. 8/2/17