HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/17/2019 Permit Number:
- A J
Building Permit Application
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 TYPE: ELECTRICAL
PROPOSED INPROVEMENT LOCATION:
Address: 2654 NIAGARA AVE
Property Tax ID#: 1428-702-1096-000-8 Lot No. 14, 15
Project Name:
DETAILED DESCRIPTION OF WORK:
REPLACED DAMAGED WEATHERHEAD ONLY
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 200.00 Total Sq. Ft of Construction:
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building: Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricity:
Other: Flood Zone: BFE: Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
OWNER/LESSEE: CONTRACTOR:
Name DENNIS J NOELKE LLC Name:JOHN M.APPLEBEE
Address: 5305 DEER RUN DR Company:JAK, INC. dba APPLEBEE ELECTRIC
City: FT. PIERCE, FL State:_ Address: P. O. BOX 15
Zip Code: 34951 Fax: City: FT. PIERCE State: FL
Phone No.(772)216-5125 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 EC0002956
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HIVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGSNER/ENGIINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Warne:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TO ITLE HOLDEN: :Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
+Di NER/CONTRACTOR AFFI VIT: 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 ice for
improvements to your property. A Notice of Commencement must be recorded and posted on tie 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.
(";)L"an
ignatur of Owner/Lesse /C ntractor as Agent for Owner Si natur of ContractdV/Gc sdffiHolder
S OF FLORIDA ST�ppp�' 4�,g1F FLORIDA
COUNTY OF S7LUC;E C'�d'UN'gT y OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 17TH day of JANUARY .Z019 by this 7TTH day of JANUARY .2019 by
JOHN M.APPLE BEE JOHN M.APPLE BEE
Name of person making statement. Name of person making statement.
Personally Known x OR Produced Identification r Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Sign2ature of Notary Public-State of Florida) (Signat re of Notary Public-State of Florida)
Commission No. GG12455 �_� Commission No. Got26946 YA I� �ARRAMORE �
Ak"NPARRAMORE a Not"
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COLT Y REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
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