HomeMy WebLinkAboutBuilding Permit Application 01/09/2020 10:27ADI FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C�
Date: 01/09/2020 Permit Number:
� .:� k;:��7 �v.�' "" is `.3i �""�-� . •..
•
Building Permit A,p licatio
gAN 9 2020
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 P i i�l I C i itDepartment
Phone:(772)462-1553 Fax:(772)462-1578 Commercial X RBkIclkat�b County FL
PERMIT TYPE: ELECTRICAL
PROPOS>✓D.JfV.PAO.'"4;ENTInjA.
Address: 15041 OKEECHBOEE RD
Property Tax ID#: 2328-141-0000-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
DEf"A1LED•DI=$CRIPTI(�.
f
N: •:WOR�C:•.': t. '.
INSTALL NEW OVER HEAD,SINGLE PHASE, 120/240V, 100 AMP SERVICE FOR 1.5HP PUMP
:G
ONSTRUG`E
-... :::...........'.a: ... .�:1, ::r.:...: -e.:•.::.••. :i}'i�i.::ii!:'i {1:;; ._,..C=�:ri=rl:.'i•::...-.:;�I`='".::-
Additional work to be performed underthis permit—check all that apply:
_Mechanical r Gas Tank _Gas Piping _Shutters T Windows/Doors
X Electric _Plumbing _Sprinklers ^Generator _Roof Pitch
Total Sq.Ft of Construction: Sq.R.of First Floor:
Cost of Construction:$ 2.100.00 Utilities: —Sewer _Septic Building Height:
;::5.. _ I ':i•'I::': a. '::.Y:S4,.I'.Eied�'a:..§-e•:.: w �#a:
}
...,<. :: �.: .`.•6���-...;� f '`,'v�l.i..y.•;,;I,' .�..: '-s�::._?:•I.:—' ..�r�':::4.��..
Name GRAHAM J MOORE Name: JOHN M.APPLEBEE
Address.4774 N.W.2ND AVE#A8 Company:JAK,INC dba APPI-EBEE ELECTRIC
City: BOCA RATON,FL _ State:_ Address: P.O.BOX 15
Zip Code: 33431 Fax: City: FORT PIERCE, State: FL
Phone No.(561)391-2526 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 APPLEBEEELECTRICQBELLSOUTH.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.
01/09/2020 10:28AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
4;:.. -
SUPP,�:EMENT L.--,.0 TR�CTCON:` 'ISN`L4W fit O;R[�L AT O.N:
:.
:I`:
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 cartify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie Coun 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 whlch 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 nonresidential 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WONJOUR LENDER OR AN ATTORNEY BEFORE RECO UR NOTICE OF COMMENCEMENT."
1.AAaa K alK 1106k-ja
Si "ature of caner/Lessee/Cot ctor as Agent for Owner gnature Goilt—rtMe/lice o er
S� ATE FLORIDA A F FLORIDA
C TY OF ST 1.1.16112 COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 9SH day of JANUARY 2020 by this 'm day of JANUARY .2020 by
JOHN M.APPLESEE JOHN M.APPLEBEE
Name of person making statement. Name of person making statement.
PersonallyKnown X OR Produced Identification Person IIyy Known x OR Produced Identification
Type of Identification Type o Identiflcatlon
Produced Produced
(Signa are of Notary Public al) (Sign ure of Notary Public-Ssa l 'd
MELISSAPARAAM4AE ""'n"•.,
Commission No.GG 126946
My Comm. XpiresJul23,202t
MELISSAPARRAMORt
Commission No.GG 126946 c
? Notary Public-State of Florida ? . ..'% Notary Public-State of Florida
':•:. ` Commission 4 GG 126946 '_•: Commisdon 6GG 126946
'v� •r My Comm.btpltesJuIZ3,2021
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION S A MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19