HomeMy WebLinkAboutBuilding Permit Application 02/05/2019 11:•12AM FAX 7724663765 APPLEBEE ELECTRIC 0002/0004
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0 � � �
Permit Number: �' dSS__
w
RECEIVED
- --' -- Building Permit Application, FEB 0 5 2019
Planning and Development Services
Building and Code Regulation Division ' l I syBiy PLtfTflEtin
2300 Virginia Avenue,Fort Pierce PL 34952 X
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT TYPE:ELECTRICAL
PROPOSED INPROV.f;MENT'LQATION:.
Address: 3475 GORDY RD
Property Tax ID#: 2326-411-0002-000-3 Lot No.
Project Name:
LED.ETAILEtD-DESCRI.PTIO.N:O'F WORK°:
REPAIRED FIRE DAMAGED WIRING TO THE BATHROOM HEAT LAMP/EXHAUST FAN COMBO. A SAFETY INSPECTION
OF THE ELECTRICAL SERVICE WAS PERFORMED SO POWER CAN BE RESTORED.
FC0NSTRUCb0NANF6#M4io
Utilities: _Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ 500.00 Total Sq- Ft of Construction:
1 LOOpPLAIN:DlwVELOPIV{ENT.PERMIT.fprstructures eXempt from:'l3u:il'd'r`ngCodeNaCa're;in tfie>':
#loadplaln ::
N.onresidential.Farm B'iiilding ." Temp..I§Idg/ShW used excli,sivelj+.=fog construction;;:;:.:
MO. WI2/Mood lar:&,temp. cottstructioi:office: Bldg..:iiivolVed iii!dist•rib.`o:f,ele.etri�it :.
Other: Fl:O.od.Zone: RFE . ;Flaadway?.:YN.,.If;Y;•. .
hed?Y N: :-
• : • .
No Rise:-Certi irate with`supporting data attar
ederal ermits:shaK-66 o.btairi id:prior:to'cammericemerit::of''
:. .
All otherapplicable:sate:;aiid:..f p
co.nstructibi
OWNER/LESSEE: coNTRACTQR:
NameCATHERINE&DAVID COULTER Name:,JOHN M.APPLEBEE
Address-3475 GORDY RD Company:LAK, INC.dba APPLEBEE ELECTRIC
City: FT.PIERCE,FL State: Address:P.O.BOX 15
Zip Code: 34945 Fax: City. FT.PIERCE State: FL
Phone No.(340)513-4693 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 ECO002956
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
I
02/05/2019 11:12AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0004
if value of HVAC is$7,500 or more,a RECORDED Notice of Commencement.is required,
SUP PLEMENTAL.C9NSTRU'CTIOR LIEN LAW]NFORM`ATION:. ..
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 Counter 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 Rome 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 5t.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 accessary uses to another nonresidential 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 retarded and posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencinR work or recording your Notice of Commencement.
I
i
S griature f Owner/Lessee/C nt ctor as Agent for Owner S=ature ofContractor/Lice se older
S F FLORIDA SF FLORIDA
COUNTY OF 5TLuciE COUNTY OF sTLUCIS
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 04TH day of FmRuAw 7019 by this 4TH day of_ F11eRUARY 2019 by
JOHN M.APPLEBEF JOHN M.APPLEBF.E
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 J ... Produced MEU55APARRAMORE
"' ..—MELISSAPARRAMgRf v�
D ry Public-State of Fldtrda
'1 == NataryPubilc-StateofFlorida �' • #ter+` CommissOnYGGf26946
` CommiSsionleGG126946
,,,A My Comm,ExpiresJul 23.2021
t YComm.Wife Jul 23,202] °^ r eardedthmusnttaCo�lNouuyAssn
(Sign ture of Notary (Si ature of Notary Public- tare of Flor da}
w W
Commission No. 00128945 commission No. OG128948
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVEf1
HATE
COMPLETED
ev. 1