HomeMy WebLinkAbout Permit App'l NOTARIZED 06-13-2018 FDat
APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
e: 06/13/2018 Permit Number:
J
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 Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 5005 SEAGRAPE DRIVE
Legal Description: INDIAN RIVER ESTATES-UNIT 7-BLK27 LOTS 45,46,47 AND 48(MAP 34/02S)(OR 329-1109)
Property Tax ID#: 3402-608-0040-000-1 Lot N o.45-48
Site Plan Name: Block No. 27
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
SERVICE CHANGE: SAME FOR SAME, 200 AMPS
CONSTRUCTIC N INFORIVIAT ON:
Additional work to be ertormed under this permit—check all app y:
11 HVAC Gas Tank Gas Piping In Shutters Windows/Doors
ZElectric Plumbing Sprinklers rinklers Generator Roof Roof pitch
t
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction: $ 2,300.00 Utilities: Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name CHARLES&BESSIE WEBSTER Name: JOHN M.APPLEBEE
Address:5005 SEAGRAPE DR Company: JAK, INC. d/b/a APPLEBEE ELECTRIC
City: FT PIERCE State:FL Address: P. O. BOX 15
Zip Code: 34982 Fax: City: FT. PIERCE State: FL
Phone No.(772)464-9175 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.
Fci
PLEMENTAL CONSTRUCTI N LIE[ LAW l4E }RMAT ON:
GNER/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:
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 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
coWencing work or recording our Notice of CommencqNent.
Si na ure of 0 Pner ee/Contractor as Agent for Owner S(pa ure of Co tract License Holder
4
STATE OF FLORIDA S E OF FLORIDA
COUNTY OF sT LUCIE COUNTY O F ST.LUCIE
The forgoing instrur ent was acknowledged before me he forgoing instrument was acknowledged before me
this 13 day of 2018 by this I day of , 2018 by
JOHN M.APPLEBEE JOHN M.APPLEBEE
Nam,e of person making statement Name of person making statement
Personally Known X OR Produced Identification Personally Known_ x OR Produced Identification
Type of Identification Produced Type of Identification Produced
j.
(Signature of Notary Public-State of Florida ) (Signat re of Notary Public-State of Florida)
(Seal) (Seal)
Commission No. GG 126946 Commission No. GG 126946
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8 MELISSA PARRAMORE
MELISSA PARRAMORE Notary•� s�'• .«'= y Public-State of Florida
?" Notary Public-State of Florida - �•
•. •. Commission#GG 126946
Commission#GG 126946 ;?. °�' My Comm.Expires Jul 23,2021
off: Comm,Expires Jul 23 202i