HomeMy WebLinkAbout3142 Johnston RD - Permit Submittal Package 01-07-2021All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 12/18/2020 Permit Number: ________ _
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4 62-1553 Fax: (772) 4 62-1578 Commercial X Residential
PERMIT TYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 3142 JOHNSTON RD
Property Tax ID#: 1327-411-0003-000-0
--------
Lot No. ___ _
Site Plan Name: __________________________ _ Block No. __ _
Project Name: MANGO ACRES
I DETAILED DESCRIPTION OF WORK:
INSTALL 3 PHASE, 200 AMP ELECTRICAL SERVICE FOR A 1 5HP IRRIGATION PUMP.
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical
.x_ Electric
Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
Shutters
Generator
_ Windows/Doors
Roof ____ Pitch
Total Sq. Ft of Construction: _______ _ Sq. Ft. of First Floor: _________ _
Cost of Construction: $ 3,945.00 Utilities: Sewer _ Septic Building Height: ___ _ ---------
OWNER/LESSEE:
Name MANGO ACRES
Address: 11334 88TH RD NORTH
City: PALM BEACH GARDENS, FL
Zip Code: 33412 Fax:
Phone No. (
E-Mail: BASSELEISSA@YAHOO.COM
State:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: JOHN M. APPLEBEE
Company: JAK, INC dba APPLEBEE ELECTRIC
Address: P. 0. BOX 15
City: FORT PIERCE,
Zip Code: 34954-0015
Phone No (772) 466 -79 30
State:�
Fax: (772) 4 66 -3765
E-Mail APPLEBEEELECTRIC@BELLSOUTH.NET
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.
SUPPLEMENTAL CONS TRUCTION LIEN LAW INFORMATION:
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 Count y makes no representation that is granting a permit will authorize the permit holder to build the sub ject 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 re quested 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
"WARNINC TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINC
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 FINANCINC, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI YOUR NOTICE OF COMMENCEMENT."
F FLORIDA COUNTY OF STLUCIE
The forgoing instrument was acknowledged before me
this� day of DECEMBER 2020 by
JOHN M. APPLEBEE
Name of person making statement.
Personally Known _X __ OR Produced Identification
Type of Identification
Produced __________ _
�'-»9-,, ">o.l\.� (S�of Notary Public-MELISSA PARRAMORE Commission No. GG 126946 \ Notary Pu blic-State of Florida • i Commission i GG 126946 / My Comm. Expires Jul 23, 2021l!c,ded th,ou h Nalional Norar Msn.
al)
REVIEWS FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
DATE
RECEIVED
DATE COMPLETED
ST LUCIE
The forgoing instrument was acknowledged before me
this � day of DECEMBER 2020 by
JOHN M. APPLEBEE
Name of person making statement.
Personally Known X OR Produced Identification Type of ldentificat-,o-n-----
Produced __________ _
Commission No. GG 126946
PLANS
REVIEW
VEGETATION REVIEW
Notary Public-Stc1te of �11) Commission •GG 126946 My Comm. Expi,es Jul 23. 2021 Borded 1h,0ugr �ali<lnal NoiaryMsn.
SEA TURTLE REVIEW
MANGROVE REVIEW