HomeMy WebLinkAboutBuilding Permit Application (2) 07/16/2019 3:40 Pili FAX 7724663765 APPLEBEE ELECTRIC la 0002/0605
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/1612019 Permit Number:
L. -; _,'��
JUL ] 2019
Building Permit AppliCetion
Permitting deparEm2nE
Planning and Development Services St. Lucie County
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT TYPE:ELECTRICAL
PR0P0SE0-INpROVWENT LOCATION:
Address: 405 SE ABETO LN
Property Tax ID#: 3419-540-0217000-8 Lot No.
Project Name:
DETAILE'Q'DE.SCR'IPTlpN.0 RK:; '.
:..1
CONVERTING OVERHEAD SERVICE TO UNDERGROUND:100 AMPS,SAME FOR SAME
CONSTRUCTION•INF'ORMA'TION: :.
Utilities: _Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ 1450.00 Total Sq. Ft of Construction:
1=•L00DRLAIWDEVEtrOPM'ENT:PE:RMIT"for structures exempt'from;wild:ing:;Coda th'at;are�;in'tli'e=
floodplain;. :: :'•'
Nonres�dentlalfartt 'R�tilding; '' ;Temp.Bldg./Slied'used exclusively'fo'r`construction=.,.',,.::, -;.,.'
Mob'ife/Mddu{ar'for temp::construction office.:. Bldg: invOlve'd:in;d.istrib: of electrity:.
Ott ei °'_:.: .:..: :Flood Zone: BFB::: :'Ploadway€?;.Y%N': :lf.Y
s:e:Certificate vuith-supporting 0 ta;attacheO VN —
::All`otfter-appliea`bl'+?state::and.-federa l.'00rmits.shall be:obtained•:p�ior to•cammencet�ietti(of
C0 i.
:..
OWNER/LEBSEP:: :;., "CONTRACTO.R:..
Name BRIAN DUNCAN Name_JOHN M.APPLEBEE
Address:405 SE ABETO LN Company:JAK, INC.dba APPLEBEE ELECTRIC
City: ST LUCIE WEST, FL State:_ Address:P.O_BOX 15
Zip Code: 34983 __ Fax: City: FT.PIERCE State: FL
Phone No.(770)827-0173 Zip Code: 349540015 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 EC0002956
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
07/16/2019 3:41 PM FAX 7724663765 APPLEBEE ELECTRIC ] 0003/0005
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
sE
.SUPPLEMENTAL CONSTRUCT- 1.01\1 LIEN'LAW'IN FORMATION, <
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: --
OWR/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated,
Felt that no work or installation has commenced prior to the issuance of a permit.
e County makes no representation that is granting a permit will authorize the permit holder to build the subject stru
is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit ;
a ut re.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
.16 ideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
r dance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. s'r,
Tike owing building permit applications are exempt from undergoing a full concurrency review:room additions, g a ,
ces ry structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use F IPIT
s ING'TO.OWNER:Your failure to Record a Notice of Commencement may result in your paying twice fo
5 vements to your property.A Notice of Commencement must be recorded and posted on the jobs' =w gi Sz
sa
o the first inspection. If you intend to obtain financing,consult with lender or an attorney before J
e ncing work or recording our Notice of Commencement. E.
950'FfFILORIDA
owner/Lessee C n actor as Agent for owner Si ature f Contractor/ icen a older
ST F FLORIDA
COUNTY OF sr Lucie COUNTY OF s%ur,F
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this18TM day of JULY ,2019 by this 113TH day of JULY 2o19 by
I?WN K APPLESEE 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
(Signa ure of Notary Public-State of Florida) (Signakure of Notary Public-State of Florida)
Commission No. GG128946 Commission No. 00126946
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 1