HomeMy WebLinkAboutBuilding Permit Application 12/10/2019 11:34AN FAX 7724663765 APPLEBEE ELECTRIC• 0002/0005
All APPLICABLE INFO MUST�BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:'- _ �-�l f Permit Num
DEC 10 2019
_....._ . Building Permit Application
Planning and Development Services Permitting e p a r t m e n t
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
"PERMIT TYPE: ELECTRICAL
PRO. %EIl'!IIVI -ROVENIENT i OCATION:
Address: 8420 MEADOWOOO DR
Property Tax ID#: 1327-709-0005-000.4 Lot No.�
Site Plan Name: Block No.
Project Name:
�I:TAIi.ED.:Di%SCRyP,.'cioN 0F.1ivi5. : ;•:: ;>,..
.�.:: :1= •^i., .:s•r 5' .,3�,? iii
REPLACING(12)EXISTING UL DISAPPROVED F.P.E.LOAD CENTERS:SAME FOR SAME
.CON � 'CTI• :'.: .,,:r' '; �: :.i.•'•- :; ,:;.;,
STE�C! O:N�r{��ORNI:ATI0:1~+1,
Additional work to be performed under this permit—check all that apply:
Mechanical _Cas Tank _Gas Piping _Shutters Windows/Doors
X Electric _Plumbing ,Sprinklers _Generator „Roof Pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 29,000.00 Utilities: _ Sewer _Septic Building Height:
::flWN:E.�.:LE�SEE. ;.�.. �•CO.� �.;.�p: ;.:;�� '::';.,. �;"
Name MEAtDOWOOD GOLF AND TENNIS GLUE Name: JOHN M.APPLEBEE
Address:9425 MEADOWOOD DR Company:JAK,INC dba APPLEBEE ELECTRIC
City: FT.PIERCE, FL State: Address: P.0.BOX 15
Zip Code: 34951 Fax: City: FORT PIERCE, State: FL
Phone No.(772)466-8272 Zip Code: 34984»0015 Fax: (772)466-3765
E-Mail:K'LE@MEADOWOOOGOLFANDTENNIS.COM Phone No(772)466-7930
Fill In fee simple Title Holder on next page(if different E-Mail APPLEBEEELF-OTRIC@BELL.SOUTH.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,S00 or more,a RECORDED Notice of Commencement is required.
/10/2019 11:35AN FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
SUPPL3VIENI;A�:CtNSTRl1C1'iO:IUIEN:iAiN.E11fFt3R;{ViATCC3N:. :
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: —Nat 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 ermit 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 Nome 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.TOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, cONSuIT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN OUR NOTICE OF COMMENCEMENT21
ignatur of Owner/Less a Contractor as Agent for Owner V natur of Contractor/ ce se Holder
S E OF FLORIDA E OF*FLORIDA
COUNTY OF STLUCIE COUNTY OF SrLUCrE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ice+ day of DEMMER 2019 by this day of oEOEMaeR 2019 b
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
(Signature of Notary Public-Sta '1 Ida)— — _ (Signature of Notary Public-
S
,.,.,.,,� s,4oa ,.., M�LiSSAPARRAMORE
Commission No.GG 1F59A6 ,,"i a M£tISSAPARRAMORf Commission No.GG 1269�tF ', Notary Public-StateofRodda
Notary Public-State of Florida ••: Commission#GG 126446
Commission#GGi26946 iy ' My Comm.E*4shl23,202i
'. ' My Comm,Expire Jul 23,2021 oa
8ardadthrc+agkHadaatNata7Assn.
. o ana a ry
REVIEWS FROM ry".Oh( G ME V a PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 7