HomeMy WebLinkAboutBuilding Permit Application 02/07/2020 10:20AN FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/O 2020 Permit Number: '52, 7
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Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34992
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT TYPE: ELECTRICAL
Address: 3056 CHARLES WAY
Property Tax lD#: 1428-802-0015-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
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OVERHEAD SERVICE UPGRADE FROM 60 AMPS TO 100 AMPS.
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Additional work to be performed under this permit--check all that apply:
_Mechanical —Gas 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:$ 2,400.00 Utilities: —Sewer Septic Building Height:
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Name GEORGE W.OLIVER, III Name, JOHN M.APPLEBEE
Address; 3056 CHARLES WAY Company:JAK, INC dba APPLEBEE ELECTRIC
City: Fr. PIERCE, FL State: Address: P.0, BOX 15
Zip Code, 34946 Fax: City. FORT PIERCE, State: FL
Phone No. (772)467-1612 Zip Code: 349540016 Fax: (772)460-3755
E-Mail: Phone No(772)466-7930
Fill in fee simple*17itle Holder an 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.
02/07/2020 10:21MI FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
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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 Alyn
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORN BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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signature f Owner/Lessee tractor as Agent for Owner MOF
of Contractor/t;ce se older
STATE F FLORIDA FLORIDA
OU OF STLUC1E COUNTY OF STLUCIP
The forgoing instryment was acknowledged before me The forgoing inst mens was acknowledged before me
this�day of 7020 by this day of 4 akl 2020 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
(Signatdre of Notary Public- ate of Floritla ($eal) (Signa re of Notary Public-State of Florida) Seal
Commission No.GG 126946 ,
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. ";P•• MELISSA PARRAMORE Cpmmisslon No,GG 1,26946 Y gy A r•,. MELI5SAPARRAMWE
Notary Pubile-State of Florida
}+ Notary Public-State ofFlorlda
- Commission q GG 126945 Commission 9 GG 126946
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REVIEWS FR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7/19
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