HomeMy WebLinkAboutBuilding Permit Application 05/08/2019 2:46 PM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
All APPILICABL,E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/012019 Permit Number:_aO 5- 0 2,17;� :...__ ....1,..��,. .. ,:...: .:..., RECEIVED
NAM - - I�;`AY 0 9 2018
Building Permit ALpplicatio
Planning and Development Services ST. Lucie County. Pqrrrilkclrlg
Building and Code Regulation Olvision
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT TYPE:ELECTRICAL
PROP4SEQ':I,IVPR0.1% ME�I�f:I.O:CATIOjN;:. '
Address: 14885 INDRIO RD
Property Tax ID#: 1318-311-0001-0001 Lot No.
Project Name:
FD DESCR:I'PTfU1�kOF_1A/QRK:�.' ::>` ;;i::"•.
BUILD NEW 200 AMP.120/240V,SINGLE PHASE U.G.SERVICE FOR AGRICULTURAL MODULAR OFFICE_
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Utilities: _Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ 2,400.00 Total Sq.Ft of Construction:
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Name PREMIER CITRUS,LLC Name-JOHN M.APPLEBEE
Address-P O•BOX 690997 Company:
JAK, INC.dba APPLEBEE ELECTRIC
City: VERO BEACH.FL State:_ Address:P.O.-BOX 15
Zip Code: 32969 Fax: City: Fr.PIERCE State: FL
Phone No.(772)633-9273 Zip Code: 34954-0015 fax; (772)466-3765
E-Mail: Phone No (772)4667930
Fill in fee simple Title Holder on next page(if different E-Mail APPLEBEEELECTRIC@BELLSOUTH.NE:T
from the Owner listed above) State or County License EC0002966
If value of construction is$2500 or snore,a RECORDED Notice of Commencement is required.
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05/08/2019 2:47 PM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CO NSTRUGTI,Q.IV;.:LIEN;:Ir4W I�VFORIEATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: ____ Name:
Address: Address:
City: State: City: — State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 aHermit 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
camme cin work or recording our Notice of Commencement,
Sig'.ature of caner/lessee/Con ra for as Agent for owner Srature fContractor/licen older
STAT FLORIDA S F FLORIDA
COUNTY OF COUNTY OF srLU=
The forgoing instrument was acknowledged beThe forgoing instrument was acknowledged be e
this STHday of w+Y ,2019 by this 8TH day of m+Y _ 2019 by ;:; 1
2S
o"R ro JOHN M.APPLEBEE
JOHN M.APPLEBEE "b — s
Name of person making statement. gF T Name of person making statement. a
Personally Known x OR Produced Identif a ` E e Personally Known x OR Produced Identifi
Type of identification i m=3 Type.of Identification g
Produced m Produced
(Sign ture of Notary Public-State of Florida) 's°N - (Signat re of Notary Public-State of Florida)
Commission No. GG128946 Commission No. GG120W
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1/9/203.9
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