HomeMy WebLinkAboutBuildling Permit Application 03/14/2019 3:55 PM FAX 7724663765 APPLEBEE ELECTRIC I2 0010/0013
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03114120/9 Permit Number: 19 0,3' 03
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F L. o FL I v A,, '—
— Building Permit Application
Planning and Development services ! "'Aid 15 2019
Building and Cade Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 __,
Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Residential 1
PERMIT TYPE:ELECTRICAL 1
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Address: 5180 TURNPIKE FEEDER RD UNIT 5198
Property Tax ID#:
1301-615-0079-000-9 Lot No.
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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 1 company:JAK, INC.dba APPLEBEE ELECTRIC
City: COOPER CITY, FL State:_ Address:P.O.BOX 15
Zip Code: 33328 , Fax: City: FT. PIERCE State: FL
Phone No.(9 )990-92014954-0015 Zip COCode: Fax:34954-0015 (772)466-3765
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E-Mail:,,- Phone No (772)466-7930
Fill in fee simple Title Holder on next page(if different E-Mail APPLEBEEELECTRIC(c 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.
1
03/14/2019 3:52 PM FAX 7724663765 APPLEBEE ELECTRIC [2 0003/0013
If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement is required. 1
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
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Name: Name:
Address: _ Address:
City: State: City: State:
Zip: Phone Zip: Phone: I
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 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. 1
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walk,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 I
commencing work or recordinkyour Notice of Commencement.
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Sirlip of Ow er/Lessee tractor as Agent for Owner S nature f Contractor/Lic= • Hol.er
S • OF FLORIDA ST• OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF arLuoc
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 7411H day of MARCH ,2019 by this 14TH day of MARCH ,2019 by
JOHN M.APPLEBEE JOHN M.APPLEBEE 1
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
•
(Signa re of Notary Public- ata•. lgrida MELISSAPAR11AMoRE igna'ure of Notary P. .r.-
Nota Public—State �_;P • a 'APAANIORE
ry State of Florida ,�� 7% Notary public-.StatedFlotlda
Commission No. GG126946 ni
CommissionfGG126946 ommission No. aa12s` ; �,�_• � �.�'L'i. CommisslOna GG 12fi946 •r MY Comm.Expires Jul 23,2021 i n s ' Wises 1u173,2021
;s Bonded through Natlona)No -
taryAssn, ,a� ! My
through NatlodalNdtaryAssn
REVIEWS FRONT 1 ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED '
DATE H
COMPLETED ,
ev. 9/2d19