HomeMy WebLinkAboutBuilding Permit Application 05/01/2019 11:21AM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED •_
Date: 05/01/2019 Permit Number:
w RECEIVED
___._.._............._-._... _- .... Building Permit Appiicaton Y
Planning and Development Services MAY 01 2019
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMIT TYPE.ELECTRICAL
'PROPQSEp INP•RQVEMENT L.00ATIO,. ::'
Address: 225 BOYD RD
Property Tax ID#: 2212-500-0008-000-8 Lot No. 1
Project Name:
l)ESCRIPTION.OF W0.R�K: i.
DETAILED'
BUILD NEW 200 AMP,230V 3 PHASE SERVICE FOR HOIST AND WELDERS.
CONSTRUCTION�INFOI�MATION:�•• ••• '•'� ••'� '"•"• +• • • ' ' • • - • .
Utilities: _Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ 2.290.00 Total Sq. Ft of Construction:
FLOODF•IsAIN•DEC/ELOPM'ENT P:•ERMIT:for:steuctur:es.exerrxpt frau.•Buiiding:C.ode:.that:are�iii`,tlie
floodfain:
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Non:residential.Fa.r.m:B'uild�ng'. Temp.•Bldg./Shed;used•.exctusirely.;for:constru.ction:,:.•:•.
Mobile=lVloduar;fortem ..coiist�iic'ion.•affice::' ;Bfd 'iinvolvd'ii dist�iFs:°nfelecrici `
Othiar, Flaod.Zon_e,: ;BFE: :.:F..loodwav?Y;;N.;If:_Y1;,;=;:
ata attached.
•NoRiseCertificaire.with•su• :ortlii d7 Y/N:`•°• •..,, �•; ;�a;:;:;`..::
Alt.other.a lieable state anct.:fe'deral: ern 0ammentof'1kd:
•construction,..:...: .::.:::......:•.: ..•• � ��• - <;•:� � � - •�i::�::
Q1NIV:ER/lESS.EE :';:::.,::'., _
Name B&B BUILDING SYSTEMS INC Name_JOHN M.APPLEBEE
Address:225 BOYD RD Company:JAK, INC.dba APPLEBEE ELECTRIC
City: FT.PIERCE, FL State:_ Address:P.0. BOX 15
Zip Code: 34945 Fax: City: FT.FIERCE State: FL
Phone No.(772)466-8888 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 APPLEBEEELECTRICQa 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.
05/01/2019 11:21AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SU P.
M�NTAL`GONSTRUCTIQN L ENIAW-fNFOR;Mi4T[ON.
:. ...
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: 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.
5t.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
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
corroencing work or rewrAing your Notice of Commencement.
. IJIUM_ ffillitp
;tom
Sigat re f ct
er L e/ ontraor as Agent for Owner Signat e f ontractor Licens Eder
ST E OF FLORIDA STAT F FLORIDA
CO NTY OF sTLuciE COU OF sTwar=
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this Dist day of MAY 2019 by this tat day of MAY 2019 by
JOHN M.APPLEEEE 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
(Sign ture of Notary Public-State of Florida) (Signa re of Notary Public-State of Florida)
Commission No. GG12694G ""'P�«,�
MELISSA1.
PARRAMORE omisson No. GG126948
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REVIEWS FRONT PLANS VEGETATION A' vw Eeo e144 AP4610VLR'As
COUNTER REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 1/9/2019
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