HomeMy WebLinkAboutBUILDING PERMIT APPLICATION01/31/2017 5:14 PM FAX 772466377'
`APPLEiBEE ELECTRIC _ ¢J 0002/0004
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /�
Date: 01/31/2017 Permit Number:
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MOM RECEIVE®
:
113NNHOS,
Building Per S. fkfM Cation JAM 31 2017
Planning and Development Services
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucid Cetnty
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercra Residential
PERMIT APPLICATION FOR: Electrical III
Address: 2076 WOODWARD DRIVE, FT. PIERCE, FL 34M
Legal Description: 33 34 40 BEG ON 1/4 1/4 SEC LI 25 FT N OF SE COR OF SE 114 NW 1/4 OF SE 1/4, TH N 89 DEG
59 MIN 36 SEC W ALG N R/W LI OF JUANITA AVE 247.29 FT TO POB, TH CONT ON N RIW LI 179.71 FT....
PropertyTax ID #: 1433-420-0003-0004
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
BUILD 100 AMP ELECTRICAL SERVICE FOR SPILLWAY FLOODGATES
❑HVAC LJGasTank
Z✓ Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 2,385-00
Lot No.
Block No.
Piping ❑_Shutters ❑Windows/Doors
nklers 11 Generator ❑ Roof
_ S Ft. of First Floor:
Utilities:llSewer❑Septic Building Height:_
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Name FPFWCD
Name: JOHN M. APFLEBEE
Address:14666 ORANGE AVE
Company: JAK, Inc., d/b/a Applebee Electric
City: FT PIERCE State: FL
Zip Code: 34945 Fax:
Phone No. (772) 21&1597
Address: P. O. Box 15
City: Ft. Pierce State: FL
Zip Code: 3495"015 Fax: (772) 466-3765
Phone No. (772)46B-7930
E-Mail: applebeeelectdc@beilsouth.net
E-Mail:
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
State or County License: EC #0002955
If value of Construction is s290D or more, a KhLUKLAU NOG[@ OT 60mmencertlem 1a 1eymIea.
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01/31/2017 5:14 Fffi FAX 77240037°�, AFPLEBEE ELECTRIC
[d 0003/0004
SClPPLItfrNTALCQTR�JMCTION2I�E�1
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DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City: State:
Zip: Phone:
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
Name:
BONDING COMPANY:
Name:
—Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 iconflict 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 a
n pply.
Inconsideration 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
rnmwwncine work or recordine vour Notice of Commencement.
Owner/
5TA�E-F FLORIDA STAPE OF FLORIDA
COUNTY OF - �k i ��,COUNTY OF
The forgping instrurrjjent was acknowledged before me
thls� day of 20 116y
J.,iV.A, AAn,9\eL "
INm ooffperson ackno*ibdging.)/��
(Signature of Notary-lrublic- State of Florida )
Revised 07A512014
The for�Ing instryl�1m-ent was acknowledged before me
this'�dayof AL N, tasc��201'�by
�� i�iYIA��.P�-2
(Na o person ackn ledging )
(Signatureof Nota y Public- State of Florida)
L Lamb
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETE
INITIALS