HomeMy WebLinkAboutBuilding Permit Application 1
03/14/2019 3:52 PM FAX 7724663765 APPLEBEE ELECTRIC Ij 0004/0013
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/14/2019 Permit Number: I g Q g- 0 9'
CCc.LiIIVT
ORI--.. O ,". RECEIVED _
Building Permit Application
Planning and Development Services
MAR 15 2019
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 X ST. Lucie County, perlmitting
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residen:la
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PERMIT TYPE:ELECTRICAL
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Address: 5180 TURNPIKE FEEDER RD UNIT 5192
Property Tax ID#: 1301-615-0079-000-9 '
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Project Name:
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VARIOUS ELECTRICAL REPAIRS FOR POWER ON.REMOVAL OF WIRING NOT NEEDED.LABEL PANEL.
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Utilities: _Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ 400.00 Total Sq. Ft of Construction:
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Name LAKEWOOD PARK PLAZA,LLC _ Name:JOHN M.APPLEBEE -
Address:8963 STIRLING RD, SUITE 1Company:JAK, INC.dba APPLEBEE ELECTRIC
City: COOPER CITY, FL. State: Address:P.0. BOX 15
Zip Code: 33328 i Fax: City: FT. PIERCE State: FL
Phone No.(954)990-9201 Zip Code: 34954-0015 Fax: (772)466-3765
E-Mail: 1 Phone No (772)466-7930 .
Fill in fee simple Title Holder on next page(if different E-Mail APPLEBEEELEC I kICCOSELLSOUTH.NET
from the Owner listed above) State or County License EC0002956
tffr-------CIS
• If value of construction is$2500 or more,a RECORDED Notice of Commencement Is required. I`
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03/14/2019 3:53 PM FAX 7724663765 APPLEBEE ELECTRIC El 00l5/0013
1
If value of HVAC Is 57,500 or more,a RECORDED Notice of Commencement is required. !1
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DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: , ,State: City: State: I .
Zip: _ Phone Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name: _
Address: Address: . I
City: City:_
Zip: _Phone: Zip: Phone: I
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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.
5t.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 1 will,in all respects,perform the work 1
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
commencin• work or recording your Notice of Commencement.
S. i Ll JILLAA.Z1'•gnature o Owner/Lessee/ o'tractor as Agent for Owner Si:natur• o C1ontractor/Q$fAw
lder
S
_ • OF FLORIDA S • E OF FLORIDA
COUNTY OF STLUCIE COUNTY OF sTLucIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1471 day of_ MARCH ,2019 by this 14TH day of MARCH _ .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
ktIA.,: tilYN_ZI-JW-.4SZI ,
(Signa ure of Notary,r ,�,s'1IAANPWit!!”`——0 (Signa ure of Notary Public-State of Florida)
YA MELISS PARRAMORE M V—,——__---- Are
Commission No. GG12e1►t8. , -State of Florida i
„ ; NComm�nsion4GG126946 r Commission No. GG12B94B I ;-14'472,,•4.• MELISSAPARRAMOREI
Notary Public-State of Florid
— �'4 �1�, ,. MyComm.ExplresJul 23.202i --Ni . Commission 4GG126946 1i
,•OP .••" Bonded=hmuchNational Motu Attn. rur• ..,,. . .. i 1 I
• — • I Bolded through ruatlonalWary Asr.
REVIEWS FRONT ' ZONING SUPERVISOR PLANS VEGETATION St,rI crrtTLI —wipenrtil
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED __
Rev. 1/9/2019
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