HomeMy WebLinkAboutBuildling Permit Application 03/14/2019 3:54 PM FAX 7724663765 APPLEBEE ELECTRIC Ii 0008/0013
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )q
Date: 03/14/2019 Permit Number: v2 .�_ •
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Iiiimumni R... 1- a..._ ...•f Building Permit Applicatio MAR 15 2019
Planning and Development Services n Ludo Ceun , PgrmI€ting
Building and Code Regulation Division
2,900 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT TYPE:ELECTRICAL
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Address: 5180 TURNPIKE FEEDER RD UNIT 5196
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. 1
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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 APPLEBEF ELECTRIC ,I
City: COOPER CITY, FL State:- Address:P.O.BOX 15 11
• Zip Code: 33328 Fax: City: FT.PIERCE State: FL 1
Phone No.(954)990-9201 Zip Code: 3495440015 Fax: (772)466-3765
E-Mail: Phone No (772)466-7930
Fill in fee simple Title Holder on next page(if different E-Mail APPLEBEEELECTRICQBI=LLSOUTH-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. / q 03-37
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03/14/2019 3:54 PM .FAX 7724663765 APPLEBEE ELECTRIC lj 0009/0013
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If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement is required.
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�?r .- i�.�'.R��IFCC��� � sil'rlii�l�.i
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _•,_ Not Applicable i
. 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 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.
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 1
. 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 ,�
comm ncing work or recording your Notice of Commencement.
: lial (-)6.\vilei
AM 1 JA 1.119-.JAA. ' s
5 nature f Owner/Lessee rftractor as Agent for Owner si:,natur of Contractor/Li a older •
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STATE OF FLORIDA S i E OF FLORIDA
• COUNTY OF STLUCIE COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 14111 day of PARCH ,2019 by this 14TH day of MARCH ,2019 by
Jam M.APPLEBEE JOHN M.APPLEgEE -
Name of person making statement. Name of person making statement I
Personally Known X OR Produced Identification Personally Known X OR Produced Identification it
Type of Identification i YP” Type of Identification „ • — •
:t:n y MELISSAPARRAMORE Produced "4Y p'” MELISSA PARRAWO
Producedcr, 1 Notary Public-State of Florida i •—" - Note Pubric-5}ateofF�i�da
Commissian rf GG 126946 _• '• • Commission it GG 12x46
Rt,\nil
S 9 J` ' a :LC;mm.Expires Jul 23,2021 I .° •4- My Comm.Expires Jul 23,j►321
' 0 '` thmu9hNatlonalt+ataryAssn. '
1.1„4, ,,...., , -• 1, • t'' °F BordedthrougiiNetidnalMta�Atsa 11
(Sign Lure of Notary Public-State o Flori a (Sig azure of Notary Public-State o lorida f— 1
Commission No. GG126946Commission No. GG126946
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .I
RECEIVED ,
DATE
COMPLETED 1 'i •
Rev.1/9/2x1
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