HomeMy WebLinkAboutBuilding permit application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/18/2020 Permit Number:
COUNTY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1SS3 Fax: (772)462-1S78 Commercial Residential X _
PERMITTYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 108 OHIO ST
Property Tax ID#: 3532-503-0056-000-4 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
BRING MAIN SERVICE UP TO CODE. INSTALL ADDITIONAL SMOKE DETECTORS, INSTALL CIRCUITS FOR WATER
PUMP, TANKLESS WATER HEATER AND AIR CONDITIONING. (200 AMP SERVICE)
CONSTRUCTION INFORMATION:
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: $ 2,100.00 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name SHAI ELIAS Name: JOHN M.APPLEBEE
Address: 2901 SE LANDER AVE Company:JAK, INC dba APPLEBEE ELECTRIC
City: PORT ST. LUCIE, FL State:_ Address: P. O. BOX 15
Zip Code: 34952-7375 Fax: City: FORT PIERCE, State: FL
Phone No. (863)412-1604 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 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.
a
SUPPM NTAL CONS RUC SON L LAW -
M _ T _. T L l N �N.�ORMATIQN 4
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 con�ultwith 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 IMPROYEMENTS 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
S'�gnature f Owner/Less ee/C tr ctor as Agent for Owner' Si ature f Contractor/Lice se older
S OF FLORIDA ST OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF ST LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 18TH day of FEBRUARY ,2020 by this 18TH day o f FEBRUARY ,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
(SignatJre of Notary Public-S too.FlGrj�a I) (Signature of Notary Public-State of Florida) (Sea])
�Y?• MELISSA PARRAMORE
Commission No.GG 126946 '�*' `i ;�'' NotaryPublic-Stateof Florida Commission No.GG 126946 ,
' ' � •= Commrssron;#GG 126946 ,�`��¢Y." ME�ISSA"PARRAMORE
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My Comm.Expires Jul3,2021 = Notary Public State of Florida
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O Bonded through National Notary Assn, = COR1mt$5ion GG 126946
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oF�,,•• •;,M National Notary Assn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIONL Fm A; lo*
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 7 19