HomeMy WebLinkAboutBuilding Permit Application 04/04/2019 11:10AM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
All APPLICABLE INFO MUST BE COMPLETEiJ FOR APPLICATION TO BE ACCEPTED
Date: 04/04/2019 Permit N ��
i .r ,'_ 4
• W APR 4 2019
- - Building Permit AP licati�r�.
Planning and Development Services PerMlt'Ling ep l"tl"tlent
Building and Code Regulation Division St. LUCIe County, FL
2300 Virginia Avenue,Port Pierce F[34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial X Residential
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PERMIT TYPE:ELECTRICAL
PROPOSED.I NPROVEMENT.LOCATION:
Address: 3200 ST LUCIE BLVD -- BLDG#-32.95' p2�
Property Tax ID#: 1428-7021492-000-4 Lot No.
Project Name:
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DETAILED pESCRIPTION OF:WORK: �.� •
INSTALL 15 AMP,3 PHASE CIRCUIT FOR NEW BOILER
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CONSTRUCTION INFORMATION
Utilities: ,Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ 1.900.00 Total Sq. Ft of Construction:
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•FLOODPLAIN DEVELOPMENT-PERMIT for structures exempt•from•Building•Code That are-in theL.- • .•
floodplain:.
Nonresidentiai••Farm'B,Uilding: Temp. Bldg./Shed used exclusively,foe.constt'uction:. . • ; .:
Mobile/.Modularfortemp:,construction office: -..'.Bldg. involved in distrib.'of eleetrici
Other:
,j . Elood Zone: BFE: Floadway.?Y�N;;':If.Y;
Nd Rise Certificate with suppdtting' ata attached?.YEN
All'other applicable state aril feder. I permltsshall'be:obtained prior to cdmmencement of;
con'stCucti:o'ti: : ..
OWNER%LESSEE:•.. .:CONTRACTOR:
Name STB RUNWAYS END LLC Name:JOHN M.APPLEBEE
Address:3200 ST LUCIE BLVDCompany:JAK, INC.dba APPLEBEE ELECTRIC
City: Fr.PIERCE,FL State:_ Address:P.O. BOX 15
Zip Code: 34946 Fax: i City: FT.PIERCE State: FL
Phone No.(954)605-4452 i Zip Code: 34954-0015 Fax: (772)466-3765
E-Mail: i Phone No (772)466-7930
Fill in fee simple Title Holder on next page(if different E-Mail APPLEBF-EELECTRIC@BELLSOUTH.NET
from the Owner listed above) State or County License EC0002956
If value of construction is$2500 or more,a RE ORDED Notice of Commencement is required.
04/04/2019 11:10AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
If value of HVAC is$7,500 or more,a RECORDEID Notice of Commencement is required.
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SUPPLEMENTAL.CONSTRUCTIONI LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Nofi Applicable MORTGAGE COMPANY: _Not Applicable
Name:
Name:
Address: Address:
City: State:_ _ City: State:
Zip: Phone Zip: Phone:
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FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable.
Name; Name:
Address: Address:
City: City:
Zip: Phone: _I Zip: Phone:
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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.
St.Lucie Count,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
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend1to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commence
Signature o Owner/Lessee/ on oras Agent for Owner ignature o Contractor/Lice a older
F FLORIDA TAT F FLORIDA
COUNTY OF vrwole ; TY OF STLUGE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 4TH day of APRIL 2019 by this 4TH day of_APFUL... ,2019 by
JOHN M.APPLEBEE I 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 r�
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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