HomeMy WebLinkAboutBuilding Permit Application 04/01/2019 1:02 PM FAX 7724663765 APPLEBEE ELECTRIC [a 0002/0006
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c�
Dated Permit Number: \ \� -ao33 _
_ EAP
ED
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• 2019
Building Permit AppPrrniing
Planning and Development Services ^
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-157$ Commercial _ X Residential
PERMITTYPE:ELECTRICAL
'PROPOSED IN-PRQVEMENT
Address: 2243 N 25TH STREET
Property Tax ID#: 1432-441-0000-000-5 Lot No.
Project Name: TEXACO RAMADAN
'DETAILED DESCRIPTl.'GN:.OF.'W.ORK: .
BUILD NEW 200 AMP,3 PHASE SERVICE ON 20-UTILITY POLE:FOR REMEDIATION TRAILER.
CONSTRUCTFON'INFORMATION:•:
Utilities: _Sewer _Septic Sq. R.of First Floor:
Cost of Construction:$ 3,900.00 Total Sq. Ft of Construction_
:FLOODPi AIN'.DE1l.ELOPMENT*PERMIT:for:str:.uctur,.a exem'pC'from Building.Code t�at`ar�`injth� ;'};�;
flood la:�n..:.; :.:: i _ _ ,<•r:,;,.,.
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N.o Ires;identlal F'afth-Bdild;i'li ::: `'"::Tem . Bld Shed used'''exclusivel• fdr-co nstt-uct><oA*:*:��_
M.obile/Ivl:adtilar. for tem : const.ruction office:,:;!..:. :'.,;.
p Bldg::iiiv - : . .. .
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'No`Rise:COrtificate Withsupportiri�:.datar:atitached�?:;Y%N
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OWNER/L'ESSEE: :,: •:= ,CONTRACTOR: .' .
Name OUBIDEH M RAMADAN Name:JOHN M.APPLEBEE
Address:2243 N 25TH STREET Company:JAK, INC_dba APPLEBEE ELECTRIC
City: FT.PIERCE, FL State:_ Address:P.O_BOX 15
Zip Code: 34946 Fax: City: FT.PIERCE State: FL
Phone No.(352)219-4022 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.
04/01/2019 1:02 PH FAX 7724663765 APPLEBEE ELECTRIC 0003/0006
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
.SU'PPLE-.MENTAE.•:CO.NSTRUCTIONLIEN.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: wNot 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 Lucle 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 Homeowners 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
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.
C)dAy) a"126L (;-)AAVI &OALL
S=nature of Owner/Lessee/ o ractoras Agent for Owner ignatur of Contractor/Gc s Holder
F FLORIDA OF FLORIDA
COUNTY OF sT4uC!e COUNTY OF STLuaE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 14TH day of Maacw .2019 by this 141H day of MARCH 2o19 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
(Si nature of Notary Public-?,tate of riouw (Si nature of Notary Public
,,•'";""• MELISSAPARRAMORE ;'QY"" MELISSA PARRAMORE
Commission N0. GG125946 Notary Public-State ofRudda Commission No. GG126946 , .,"s NalaryPubRc-state of Florida
.* •i CammissionOGG126946 !• •' COMMITSsioa1GG126M
My COMM rApires Jul 23,2021 ssf �': My ComM.EV1MS d 23,262T
REVIEWS FRONT S P R I OR PLANS VEGETATION SEA TURT E A G
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
1/9/2019I