HomeMy WebLinkAboutBUILDING PERMIT APPLICATION08/28/2013 9:52-AM FAX 7724663765 , APPLEBEE ELECTRIC
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTER
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Building Permit Application St. Lucie County
Planning and Development5ervices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial V Residential
PERMIT APPLICATION FOR: Electrical III
Address: 15838 ORANGE AVENUE F-XfENSTION, FORT PIERCE, FL 34945
Legal Description: CARBOY INDUSTRIAL PARK -UNIT ONE-BLK A LOT 1 (0.77 AC) (OR 1427-254, 1430-747)
Property Tax ID #: 2212-500-0003-000-3 Lot No.
Site Plan Name: Block No,
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALLING NEW 400 AMP. 3-PHASE SERVICE.
❑HVAC Li Gas Tank
1zElectric 0 Plumbing
Total Sq. Ft of construction:
Cost of Construction: $ 13,640.00
permit— cneCK all apply:
Sas Piping I�_I Shutters [] Windows/Doors
( Sprinklers I Generator (_(Roof
S . Ft. of First Floor: _
Utilities: Sewer ❑ Septic
Building Height:
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Name AGRICULTURAL SERVICE INTERNATIONAL, INC.
Name: JOHNM. APPLEBEE
Address: 1416 4BTH CT.
Company: dA• INC. DBAAPPLEBEE ELECTRIC
City: VERO BEACH State: FL
Zip Code: 32966 Fax:
Phone No. (804) 451-3667
Address: P.O. BOX 15
City: FT. PIERCE State: FL
Zip Code: 34954-0016 Fax: (772) 466-3765
Phone No. (772) 466-3970
E-Mail: GR2FERRATEX.COM
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mail: APPLEBEEELECTRIC@BELLSOUTH.NET
State or County License: 19055
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required,
08/28/2015 9:52 AM FAX 7724889785 1 APPLEBEE ELECTRIC
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DESIGNER ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City; State:
Address:
_
City; Stater
Zip: Phone:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Appli
Name:
Address;
City:
able
BONDING COMPANY; _Not Applicable
Name:
Address:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Applications 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 ssociation 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 au Iding 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 accessary 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 jobsite
before the first inspection. If you intend toobtain financing, consult with lender or an attorney before
OF
The oinginstru/ientwasacknowled edbefore
this day of LJjgLAj D 20] by
Produced
Commission No.
Ewhesoln5nota
Revised 07/15/2014
159114
I
Sign ure of ontractor/Licenself9liller
ST FLORIDA �'
COUNTY OF
The tc�g )ing inst ent was acknowledged before me
this dayof 2o033by
of Notary hblio' State of Florida )
OR Produced Identification
REVIEWS
FRONT
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SUPE
VISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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