HomeMy WebLinkAboutBuilding Permit Application 12/07/2018 1:06 PM FAX 7724663765 APPLEBEE ELECTRIC IM 0002/0007
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED u
Date: 12/07/2018 Permit Number: \4
RECEIVED
Building Permit Application
Planning and Development Services DEC 0 7 2098
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lurie GpmhtY, Permltting
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Resid --
PERMIT APPLICATION FOR: Electrical
.P:ROPOSED�;i,MF:ROVEM•ENT��O.Ci4T,ON��. ; � .;'::....
Address: 1375 S HEADER CANAL RD
Legal Description: MELLEN GROVES(PB 74-4)LOT 1 (6.168 AC-268,678 SF)
Property Tax ID#: 2214-501-0001-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
::DETAI.LED-D.ESCR:P. ION.CIF WOR::K:
'BUILD NEW 125 AMP, SINGLE PHASE O.H. SERVICE FOR WELL PUMP.
CO:NS�kRU.CI.:: LN .Q1MAWTl.ON
itiona
work to performedun er t is permit-c ec a appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
ZElectric ❑Plumbing Sprinklers I=l Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 2,480.00 Utilities: Sewer D Septic Building Height:
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Name BE FARMING SOLUTIONS INC Name: JOHN M.APPLEBEE
Address:2903 W.NEW HAVEN AVE.312 WEST Company: JAK, INC.dibla APPLEBEE ELECTRIC
City: MELBOURNE State:FL Address: P.O.BOX 15
Zip Code: 32904 Fax: City: FT_PIERCE State: FL
Phone No.(321)474-0727 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: APPLEBEEELECTRICO-SELLSOUTH.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.
12/07/2018 1:07 PH FAX 7724663765 APPLEBEE ELECTRIC l7j 0003/0007
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DESIGNER/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,l 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
coau:Pwcing work or regording your Notice of Commence
gnature f Owner/Lessee o tractor as Agent for Owner Sig ture o ontractor/Li ense H de
5 OF FLORIDA ST TE FLORIDA
COUNTY OF u1wjF CO OF Sr.LucIE
The forgoing instr1rent was,acknowledged before me The forgoing instru ent was acknowledged before me
this day of 1 C�.Yr► 2018 by his,��ay of 2018 by
JOHN M.APPLEBEE JOHN M.APPLEBEE
Nargp 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
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(Signat a of Notary Publi (Signature of Notary Public-State of Flo id
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rfi W.USSAPARAMORE alMWSSAPARRAMORE
Notary Public-StateofFlridry Public-SteofFlo
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Florida
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commission NComian94S Commission No. Commission#%126N6
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MyComm.Exptrrslu123,2021
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17