HomeMy WebLinkAboutBuilding Permit Application 12/07/2018 1:08 PM FAX 7724663765 APPLEBEE ELECTRIC. 0002/0007
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/07/2018 Permit Number:
RECEIVED
Building permit Application DEC o 7 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie gqunty, permitting
2300 Virginia Avenue,Fart Pierce FL 34982 "-- –
Phone:(772)452-1553 Fax: (772)462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
P•R•OPOSEDJ�,IMiPROVfM.EN�LQCAT'ION: "�. . . `�;r,�i:;:"'�,�;
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Address. 21210 SCHUMANN RD
Legal Description: 04 35 38 N 1/2-LESS E 1637.27 FTAND LESS RD AND CANAL RS/2-(237.02 AC)
Property Tax ID#: 2204-121-0001-000-1 Lot No,
Site Pian Name: Block No.
Project Name:
Setbacks Front Back- Right Side: Left Side:
r
DET. LED D: W.,
BUILD NEW 150 AMP, 3 PHASE O.H. SERVICE FOR 20 HP FLOOD PUMP.
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Additional wor tof orae un er ispermit–checka apply;
❑HVAC eGasTank ❑Gas Piping Shutters �.,i:: ';r:❑•:,:..:;;:,Windows/Doors s_/D
^o5:•.�•ors; :if^l:i'ir.•;�t':',.tii:9.q:i�p.,
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U Electric Q Plumbing ❑Sprinklers ❑Generator Roof Roof pitch
Total Sq. Ft of Construction: i S Ft.of First Floor:
Cost of Construction:$ 2,410.00 Utilities:'nSewer ElSeptic Building Height:
•: .:.: "k �:ry L. — .,.-f AC.T.,O....R:,.,.j.7.�i�i.'.;,�' _,+:I :i.:�:r:.x::�•=!:4:.•it�k:a:J,•a`;.^,,q•;',;,�:I,�qii•:Y�•�`k=�b�,l:'p..e•{l•�k.��'��.f.i.
58Y?:� -.r•._. •ter.:''.
Name WESTWOOD GROVES LLC 1NE.STCOTT GROVES LLC Name: JOHN M.APPLEBEE
Address:PO BOX 2457 Company: JAK, INC.d/b/a APPLEBEE ELECTRIC
City: FORT PIERCE State:FL Address: P.O. BOX 15
Zip Code: 34954 Fax: City; FT. PIERCE State: FL
Phone No. 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: APPLEBEEELECTRICQBELLSOUTH_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 1:08 PM FAX 7724663765 APPLEBEE ELECTRIC �I 0003/0007
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:SUPPL MEN�A1~::,CQ[+I T�C;C�:ET' J�l�frl GA•1N t�;F;i; :11I,������„ :;:_' �,:r;:'; ,,, .;:::r .:
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,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
commencing work or recording our Notice of Commencement.
C�l (AJA CIL - I
�nolurCof Owner/Lesse /C ntractor as Agent for owner Sig ature f Contractor/Li n Holder
F FLORIDA STA OF FLORIDA
COUNTY COUNTY OF sT.wcir
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this day of s. ,_,2018 by his day of `�,t ��,bc3-x _ ,2018 by
JOHN M.APPLEBEE JOHN M.APPLEBEE
Name 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
�(Sigg*natreof Notary Public-State of Florida j (Signatur4 of Notary Public State of Florida)
MELISSAPARRAMORE > MELISSAPARRAMORE
NotaryPuMc-Stateoffinrtda # '; NmryPubrtc-stateof Florida
Commission No. •� CammisslanNGG1�69a6 mmiSSlOn No. Commission 4G6126946
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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