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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r (� Date: 11/07/2019 Permit Number: 1 ` I ` RECEIVED Building Permiti Application Nov 12 Planning and Development Services 2019 Building and Code Regulation Division P®rrnitti 2300 Virginia Avenue,Fort Pierce FL 34982 Eta l,yc ®aflMent Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residential ` ! PERMIT-TYPE: ELECTRICAL PRt7POSED PROVEM ANT LOCATION. Address: 26462-ORANGE AVE Property Tax ID#: 21,11-111-0001-000-5 Lot No. Site Plan Name: Block No. Project Name: SCOTT CITRUS MGMT: 15HP FLOOD PUMP ;I DETAILED ©E�5CRIPTION OF WORK: BUILD NEW 60 AMP, 240V, 3 PHASE SERVICE FOR 15HP FLOOD PUMP !i CC3NSTRUCTIOM INFORM :TION: Additional work to be performed under this permit–check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors I X Electric _Plumbing _Sprinklers _Generator _Roof Pitch .I Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction:$ 2,300.00 Utilities: —Sewer =Septic Building Height: Or�1(NER/LES aE:E: CONTRACTQR: Name ORANGE AVE CITRUS GROWERS ASSOC Name: JOHN M.APPLEBEE Address:P O BOX 643820 Company:JAK, INC dba APPLEBEE ELECTRIC City: VERO BEACH, FL State:_ Address: P. O..BOX 15 Zip Code: 32964-3820 Fax: City: FORT PIERCE, State: FLIT Phone No.(772)216-0707 Zip Code: 34954-0015 Fax: (772)466-3765 E-Mail: Phone No(772)466-7930 j 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 EC 0002956 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. s UPPLEMEN �ALCONSUCl'fONL "�.AUItNF4RM�ATIO.';; DESIGNER/ENGINEER: _Not Applicable MORTGAGE'-COMPANY: _Not Applicable Name: _ Name•: Ad"dress: Address: - Gty: State: City: State: Zip: Phone Zip: Phone:. FEE SIMPLE TITLEHOLDER: __ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: b City: City: 1 Phone: Zip: Phone: Zip: 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.issu.ance 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 Qwners,ASsdciatI6h rules,.bylaws orand covenants that may restrict or prohibitsuch 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 agreethat.l will,in all respects,perform the:work in accordance.with the approved plans,the Florida!Building.Codes and St.Lucie County Amendments: The fbilowing building permit applications are exempt from.undergoing a.full concurrency review:room additions, accessory structures;swimming pools,fences,walls;signs,screen-ro ' —rid accessory uses to another non-residential use "WARNING TO.OWNER: YOUR FAILURE TO RECORD A.NOTICE OF COMMENCEMENT MAY RESULT'IN YOUR PAYING I TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE.RECORDED AND POSTED ON.THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING; CONSULT YfJTH YOUR'LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF'COMMENCEMENT."- Sig atur of Owner/Lesse /C &tractor as Agent for Owner SiVaturCof Contractor/Lice -Ider STT .OF FLORIDA STF FLORIDA CQ TY'OF STLUCIE COUNTY OF STLUCIE T,he,forgoinginstrument was acknowledged before me The forgoing instrument was acknowledged before me this 07TH day of NOVEMBER 2019 by this 07TH day of NOVEMBER 2019 by JOHN M.APPLEBEE JOHN M.APPLEBEE Name ofperson making statement. Name of person making statement: Personally Known_ X OR Produced Identification Personally Known X OR Produced Identification i Type of Identification Type of Identification Produced Produced Agana l (signal a of Notary Publlc=5 ) (Signatu _ of NotaryPubllc- to z) NotaryPublic_stateofFlage- Commission No.GG 126946 MELISSA PARRAMORE' • ,• NotaryPudic-Stateo(Rodda Commission No.GG 126946 ' CommissioniGG126946 Commission t GG 12694b My Comm..EicpiRs ha 23 2021 My Comm.Expires 1W23,202TtkndedMroughtulN�mY - '• oca S -NatlomlNote Assn. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE k:- COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE. RECEIVED DATE COMPLETED Rev.2/7/19