HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l Q c
Date: 05/11/2015 Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: INDUSTRIAL 31ST STREET, FORT PIERCE, FL
Legal Description: AIRPORT INDUSTRIAL PARK-UNIT ONE-BLK 4 LOTS 9 AND 10 (OR 552-2747) .
Property Tax ID#: 1429-501-0053-000-4 Lot No. 9, 10
Site Plan Name: Block No. 4
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
SERVICE CHANGE: SAME FOR SAME, 800 AMPS
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
E1HVAC M-Gas Tank ❑Gas Piping Shutters Q Windows/Doors
J_Electric 0 Plumbing OSprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$����' � Utilities .: _Sewer F Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name MAVERICK BOAT CO. Name: JOHN M.APPLEBEE
Address:3054 INDUSTRIAL 31st STREET Company: JAK, INC. DBA APPLEBEE ELECTRIC
City: FT. PIERCE State:FL Address: P. O. BOX 15
Zip Code: 34946 Fax: City: FT. PIERCE State:FL
Phone No.(772)633-6028 Zip Code: 34954-0015 Fax: (772)466-3765
E-Mail:SFARINACCI@MCBOATS.COM Phone No. (772)466-3970
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: 19055
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 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 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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
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ignature of Owner/Agent Le see =FL
Contractor/Lice a older
S E OF FLORI ORIDA*�
COUNTY OF COUNTY OF
The f oin instr ent was acknowled ed efore me The for in instru nt was acknowled ed b re me
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this day of - 20 by this day of 20 I by
(N m of person acknowledging) (Na erson acknowledging)
(Signature of Notary Public-S e of Flo ida) (Signature-of Notary Public-St f Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. - MILONE Commission No. �Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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