HomeMy WebLinkAboutBuilding Permit Application 02/06/2019 12:25PH FAX 7724663765 APPLEBEE ELECTRIC 0002/0006
All APPLICABLE INFO MUST 13E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/0E019 Permit Number:
..........
RECEIVED
0 Building Permit Application
F E-B 0 6 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permittin
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Residential ,
PERMIT TYPE:ELECTRICAL
PROPOSED"INPR'OV..'EM'ENT.;LOCA!FfON':.
Address: 15601 W.MIDWAY RD.,FT.PIERCE, FL
Property Tax ID#: 3201-133-0005-000-0 Lot No.
Project Name:
DETAILED RESCRIPTION OF-
..WQRK;.
INSTALL 300 AMP,3 PHASE ELECTRICAL SERVICE FOR BUNK HOUSE RECEPTACLES
INFORM
CONSTRUCTION. "Attom
Utilities: —Sewer —Septic Sq. Ft.of First Floor:
Cost of Construction:$ 22,000.00 Total Sq.Ft of Construction:
TLOODPLAI'N-DE ELOP.M,..kNT'PERMIT'-.for....structure'§-'ex*'C-"'m""Ot!.f'tq'm*.:Bu'lldinR'C6db:th-it.:?kre:.ih the
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All othe'r.*-ap'plicab.16.°iiitah'd-.ied* A .o.f
co.iistruction:
TRA
C7jr
-OWN ER/(ESS-EE;.. -�CONT'.
Name ST LUCIE COUNTY Name.JOHN M.APPLEBEE
Address.-2300 VIRGINIA AVE Company:JAK, INC.dba APPLEBEE ELECTRIC
City: FT PIERCE,FL State: Address:P.O.BOX 15
Zip Code: $4982 Fax, City: FT.PIERCE State: FL
Phone No.(772)464-2910 Zip Code: 34954-0015 Fax- (772)466-3765
E-Mail:JEANNEK@STLUCIECOUNTYFAIR.ORG 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
A-_
If value of construction Is$2500 or more,a RECORDED Notice of Commencement is required.
02/06/2019 12:25PM FAX 7724663765 APPLEBEE ELECTRIC 0003/0006
If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW-INFORMATION:
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.
1 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 Nome 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,wails,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.
S gnatur of Owner/Lessie—/tortractor as Agent for owner Sig ature o Contractor/Liter older
STATE OF FLORIDA ST F FLORIDA
COUNTY OF STLUCIE COUNTY OF arwcle
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Tri+ day of FEBRUARY 2019 by this srH day of FEBRUARY ' , 2019 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 Type of identification
Produced Produced
(sig ature of Notary PubIP (Signalture of Notary Public-Sta
MELISSA PARRAMORE ""a; MELISSA PARRAMORE
Commission No. GG12CS46 + :� Notary Public-StateofFforida GG126946 ?,� �2'- NataryPublic-State ofRod a
Commission No. ;,;
q Commission#GG 126W CommissionYGG12690
- f My Comm.EXPIM Jul 23,1Q7 My Comm,Fores1ul23.201
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S U TLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
02/06/2019 12:25PH FAX 7724663765 APPLEBEE ELECTRIC 0005/0006
RECEIVE®
FEB 00 2019
NOTICE OF COMMENCEMENT
ST. Lucie County,Permitting
Permit No. Property Tax ED No._ 3201-133-0005.01)0-0
State of Florida,County of St.Lucie
The Undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement
Legal Description of property and address if available 15601 W.MIDWAY RD.,FT.PIERCE,FL: 1112 36 38 THAT PART OF E 1/2
OF SEC 1-36-38 LYG S OF WHITE CITY RD AND S OF SR 70-LESS RD RNuS AS IN OR 43-397 AND LESS CANAL RS/W AND LESS,,,
General description of improvements INSTALL NEW ELECTRICAL SERVICE FOR BUNKHOUSE RECEPTACLES.
Owner/lessee ST, LUCIE COUNTY
Address 2300 VIRGINIA AVE„FT,PIERCE,FL 34982
Interest in property: OWNER
Fee Simple Title holder(if other than owner)
Address_
Contractor JAK, INC dba APPLEBEE ELECTRIC Phone# (772)466-7930
Address P.0.BOX 15,FT.PIERCE,FL 34954-0015 Fax# (772)466-3765
Surety Phone#
Address Fax#
Amount of Bond
Lender Phone#
Address Fax#
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.. 3(a) 7,Florida Statues.,
Namne �} � C Phone#
I �
Address t kg L
T/7-P;-
( Fax# 2 ' L(`�,� p 7
In addition to himself,owner designates of
Phone# Fax#
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of not!'
commencement is one year from the date of recording unless a different date is specified. WARNING TO OWNER M O fn
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION Or THE NOTICE OF COMMENCEMENT ARKS CONSIDERED rMPT n pm m=
PAYMENTS UNDER CI"L713.i 3,F,S„AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY- A NOTI- S a
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE,TOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO 0
FINANCING, CONSULT WMI YOUR LENDER OR AN ATT Y BEFORE COMMEN ING WORK.OR RECORDING YOUR NOT)
COMMENCMENT. c
4 p
Owner/I, or er's r i.R938e' uthorizi¢rdOlrectur/Partner/Manager/Sig R$ o
Signatory's Title/Office g M
1
} - Pj n
State of Florida,County of c�- .f 11- -
Acknowledged before me this_ } ,day of 20�,by s� NN Q '' z
who is personally known to me or who has produced as identify °
k A A i- UQ"Qdy6!Q�� l a _
ig ature of Notary Type or Print'
Name of Notary (Seal)
Title:Notary Public Commission Number ac, ( nn c[)to
. 1A1JRAR.CUB9EDGE
# Cammfssion#W022076
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