HomeMy WebLinkAboutBuilding Permit Application 01/17/2019 11:57AM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
All APPLICABLE INFO MUST BE COMPMFD FOR APPLICATION TO BE ACCEPTED
. 01/17/2019 1 -
Date. Permit Number.
1`E®
- _- - Building Permit Applicatiom, ,/t ?ois
Building and Code Regulation Division S90
Planning and Development Servicest Gp e CO nty enk
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
PERMITTYPE: ELECTRICAL
•-PROPOSED IN.PROVEMENT LOCATION:
Address. 7369 COMMERCIAL CIRCLE
Property Tax ID#: 1335-802-0047-000-5 Lot No. 25
Project Name:
FDETAILED DESJC9-I PTION•.O F•WORK:
ELECTRICAL HOOK UP OF INTFRIOR EQUIPMENT.
LcoNSTRUCTIOU INFO'RMAT.IO•N: . ..:.::
Utilities: _Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ 2,100.00 Total Sq. Ft of Construction:
FLOODPL•A M'DEVELOPMENT PERM1T.for:struetures:exempt'.fron :B•uilding•CE•odd•that aye in th.e•:
floodplain:• ;
NonreSii enfi'ial:Farril:B'i ilding: Tem.p:.:"Blctg:/Shed•used ex-clus.ively for co.astru.ction':.
Mobile/IVlodu.lar f.0r teM.. p. :cottstru�cfion office:.. . at'd. involved,in:di5trib of`electricity;;.:
other:'. •: ' '•` .•' ay?N
Flood.Zone: BFE': :Floodw If Y,...;
No Rise:C&tificate•with:suppgrting:data'attached N.
Ali other.:appl'i'cable stafe:and•:.federal permits shall b,e`obtain"6d•prior:'to..comrnenceriaent of
construction:. ;;;.,..>.::.. :. .
OWNER/I,tSSI CONTRACTOR:
Name ELENA PELUSO(TR) Name:JOHN M.APPLEBEE
Address;6242 ARLINGTON WAY Company_JAK, INC.dba APPLEBEE ELECTRIC
City FT PIERCE, FL State:_ Address:i'-0. BOX 15
Zip Code: 34951 pax: City: FT.PIERCE State: FL
Phone No.(346)666-8810 Zip Code: 34954-0015 Fax: (772)466-$765
E-Mail: Phone No (772)466-7930
Fill in fee simple Title Holder on next page(if different E-Mail APPLEBEEELECTRIC@BELL50UTH.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.
01/17/2019 11:57AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CON57R-U.C1'IOGN'LIEN:LAW.INFORMATION:
DESIGNERANGINEER: _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/
hone:OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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•or any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in ail 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.
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SI ature o wner/Les ee o ractor as Agent for Owner SI=atur ofTF FLORIDA SF FLORIDA
CO TY OF ST LUCIE COUNTY OF SYLIMP
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Im day of JANUARY 2019 by thistom+ day of JANUARY 2019 by
JOHN M.APPLESEE 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 Type of Identification
Produced Produced
(Signature of Notary Public-S t of I da (Signjure of Notary Public-SZf�_Fra3MELISSAPARRAMOREMELISSAPARAAMORE
Commission No. ee�zss�a ` _ NotaryPublic-StateofHonda CommissionNo. GG1289asNotaryPubllc-StateofF! Id
Commission N GG 126g4tiConunlsslonYGG126
M Comm. IresJul23,�o2T My Comm.ExpIresJul23, 2
lauded roughNatlonalNataryAssn, on rauq a ono toAtlREVIEWS FRONT PLANS VEGETATION 0ME
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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