HomeMy WebLinkAboutBuilding Permit Application 07/18/2019 8:47 AM FAX 7724663765 APPLEBEE ELECTRIC 0002/0006
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/15/2019 Permit Number:
Building Permit ApplicationFRECEIVEDPlanning and Development Services
Building and Code Regulation Division U L 1 20192300 Virginia Avenue,Fort Pierce FL 34982Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Residentsc county, Permitti
PERMIT TYPE:ELECTRICAL
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Address: 2550 SE WALTON RD
Property Tax ID#: 3414-501-3203-250-9 Lot No_
Project Name:
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INSTALLING CIRCUIT FOR EXISTING A/C PACKAGE UNIT IN EXISTING GENERATOR BACK UP PANEL,
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Utilities: Sewer `5e tic{ ”
p Sq.Ft.of First Floor:
Cost of Construction:$ 14,000.00 _ Total Sq. Ft of Construction:
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Name FLORIDA PROPERTIES OF PSL LLC _ Name:JOHN M.APPLEBEE
Address:15310 AMBERLY DR,SUITE 300 Company:JAK, INC.dba APPLEBEE ELECTRIC
City: TAMPA,FL _ State: Address:P.O.BOX 15
Zip Code: 33647 Fax: City: FT.PIERCE State: FL
Phone No.(772)3$5-0400 Zip Code: 34954-0015 Fax: (772)466-3765
E-Mail: Phone No (77.2)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 ECO002956
Rvalue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
07/18/2019 8:47 AM 'FA% 7724663765 APPLEBEE ELECTRIC 0003/0006
If value of HVAC Is$7,500 or more,a RECORDED Notice of Commencement is required.
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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.
St.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
commencing work or recording our Notice of Commencement.
�( A� Chaz L' Loc_ ('� -A-
ignature Owner/Lessee/Co tr or as.Agent for owner Sig ature o Contractor/License Ide
F FLORIDA "':"' STA FLORIDA_
COUNTY OF sTLur-la* COUNTY OF aT WOM 17,The forgoing instrument was acknowledged bThe forgoing instrument was acknowledged be It,giethis ay of 2019 b this] day of 2019 byJOkN M.AppLeeee X.EE JOHN M-APPMEE r Name of person making statement. Name of person making statement.
Personally Known x OR Produced Iden iPersonally Known x OR Produced(dent �
Type of Identification ti m Type of Identification 5
Produced d Produced
(Signa ure of Notary Public-State of Florida) (Sign ture of Notary Public-State of Florida)
Commission No, 6G126946 Commission No. GG126946
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.1