HomeMy WebLinkAboutBuilding Permit Application 07/30/2019 11:39AM FAX 7724663765 APPLEBEE ELECTRIC
VA 0002/0004
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07101/2019 Permit Number:
RECEIVED
Building Permit Applica !on JUL 31 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2.300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT TYPE:ELECTRICAL
PROPOSED INPROVEMENT.LOCATION;
Address. 4907 EL NUEVA AVE
Property Tax ID#: 1431-703-0057-000-9 Lot'No.
Project Name:
DESCRIPTION OF WORK:
POWER ON INSPECTION
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Utilities: —Sewer _Septic Sq. Ft.of First Floor:
Cost of Construction:$ 425.00 Total Sq.Ft of Construction:
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CONTRACTOR:
Name JOSE ORTEGA Name-JOHN M.APPLEBEE
Address:20200 NW 38TH Pl. Company,JAK INC.dba APPLEBEE ELECTRIC
City-, MIAMI GARDENS,FL State: Address-P.O.Box 15
Zip Code: 33055 — Fax: City,, FT.PIERCE State: FL
Phone No.(964)464-4996 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 APPLEBEEELECTRIC@BELLSOUTF(.NET
from the Owner listed above) State or County License.-.. ECO002956
...
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
,
07/30/2019 11:39AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0004
if value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL•CONSTRUt"TfON LIEN"LAW•INFORMATION:
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 5t.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
corninencing work or recording our Notice of Commencerrigrit.
ignature f Owner/Lessee tractor as Agent for Owner 5 natur of Contractor/Li n e Holder
S OF FLORIDA S OF FLORIDA
COUNTY OF srLucte COUNTY OF s
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2uh day of JuLY 2019 by this STH day of JuLv 2019 by
JOHN M_APPLEBEE 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
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