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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 I 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: I DETAILED pESCRIPTION OF:WORK: �.� • INSTALL 15 AMP,3 PHASE CIRCUIT FOR NEW BOILER i F i CONSTRUCTION INFORMATION Utilities: ,Sewer _Septic Sq. Ft.of First Floor: Cost of Construction:$ 1.900.00 Total Sq. Ft of Construction: i . •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. I 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: i FEE SIMPLE TITLEHOLDER: _Not Applicable BONDING COMPANY: Not Applicable. Name; Name: Address: Address: City: City: Zip: Phone: _I Zip: Phone: i 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� J!U!f (SlAnature of Notary Pub - �,p o (Signature of Notary )NotaryPubrc-stateotFlorldPi55APARRAMORE • Commission4�GG126946 NotaryP411c-Rate ofRorida My Comm,ExpiresJ023,2021 Commission No. GG72694d F•` CommissionaGG126946 Commission No. GG12 •. Beodedf tlghNaVa alNouryAs : of MyCommlExplroJul 23,2021 8gndldlhroy9h National NOlarypssp. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.