HomeMy WebLinkAboutBuilding Permit Application 02/20/2020 9:10 AM FAX 7724663765 APPLEBEE ELECTRIC 0002/0006
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //
Date-P Permit Number: D(P.
°•�r° EBuilding Permit Applica ion 2 ,) 2020
Planning and Development Services
Building and Code Regulation Division P:rMi_
tir1 P rtm n2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-157$ Commercial R sid%-ial° ucie col inr`yo FL
PERMITTYPE: ELECTRICAL
PRQPO.SED C11%I.PROV. 1��117T'LOfATIQ,fV:
Address: 14470 C24 CANAL RD
Property Tax ID#: 3319-123-0020-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
DETAIL. ,
4r.i.� 4: �' •.: is •.h� �4� .:. ;.
REPLACED DAMAGED LUG IN EXISTING METER CAN
;. . .. ':
CONS:TIITLQ�I ,ItFO (ViATION:
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:$ 750.00 Utilities: —Sewer _Septic Building Height:
•,r:'7'%P�, .'If', f ,. :E?...;.S:=•iii'h �B!' �,- a
+' 014TRAOR..
Name SOUTH FL WATER MGMT DIST Name: JOHN M.APPLEBEE
Address:_ATTNLAND MANAGEMENT PO BOX 24680 Company:JAK, INC dba APPLEBEE ELECTRIC
City: W.PALM BEACH,FL State:_ Address: P-O-BOX 15
Zip Code: 33416-4680 Fax: City: PORT PIERCE, State: FL
Phone No.910-596-8863 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 A'PLEBEE:E:LECTRIC@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.
02/20/2020 9:10 AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0006
SUPPLEME;NTAL••CONSTR UJ.1Q ;LIEN AW.INFORIVlAT10.N:..;'..
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 theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or andcovenantsthat 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 AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN (FINANCING, CONSULT
TTW YOUR LENDER OR AN ATTORNEY BEFORE RECO RDIING OUR NOTICE OF COMMENCEMENT."
luhl fta.,� J J0
Si nature Owner/Lessee/ o actor as Agent for Owner S"gnature a ontractor/Licens der
F FLORIDA S�AldF FLORIDA
COUNTY OF STLUCIS COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 2UTH day of FEBRUARY 2020 by this 20TH day of FEBRUARY 2020 by
JOHN M.APPLESEE JOHN M.APPLE6EE
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 V Notary Public- r1da.L (Signature bf Notary Public-Stated Florida) (Seal}
Commission No.GG 126946 ir+r' eYa' t•� MELISSA PARRAMORE Commison N0.G ��694
NotaryPablie-state atFlorida
MELISSA PARRAMORE
Commission 0 GG 126946 NonryPublic-5tateefFla
ridaMOW MyCamm.Exo1re5Jul23,2021
Commission 4GG 12690
LLL
•.,,acrr,.•r• BCroed hr U"nN 'o
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.