HomeMy WebLinkAboutBuilding Permit Application 11/09/2015 3:32 PM FAX 7724663765 APPLEBEE ELECTRIC 191 0001/0003
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/002015 Permit Number:
RECEIVED NOV 10 2015
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 ._ __xResidential
PERMIT APPLICATION FOR: Electrical
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Address:
Legal Description:
Property Tax ID#. 1425-704-00-00-000-9 Lot No..
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: _Left Side:
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itiona wor o (ee orme� under this permit -c ec a appy:
HVAC I.�Gas Tank ❑Gas Piping _Shutters Windows/Doors
Z✓ Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2,435.00 Utilities.. Sewer —Septic Building Height:
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Name Aquanque Ocean Club Condominium Association Inc Name: JOHN M.APPLEBEE
Address:2700 N.AIA,BOX A Company. JAK,INC.,dba APPLEBEE ELECTRIC
City: FT.PIERCE State:FL Address: P O BOX 15
Zip Code: 34949 Fax: _ City: FT.PIERCE State:FL
Phone No.772-708-2018 (DOUG PENDLETON) 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: APPLEBEEELECTRICQBELLSOUTH.NET
from the Owner listed above) State or County License: EC 40002956
If value of con5trgCtion is$2500 or more,a RECORDED Notice of Commencement is required.
11/10/2015 10:41AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0003
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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:
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 wit lender or an attorney before
commencing workm recording,your Notice of Commencement.
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nof /License Holder
:Is i�gnWiu reof6wn_trl/es�e/Agent
STATE OF FLORIDJ
7ATE re OFF ORIDA
COUNTY OF COLINTYO
The fo rig instrument was acknowledged b fore me The fRrpoing instrument was acknowledged before me
this rig, Ty _1
R16dayof OaJe.�c6z- 20 Ob thisat day of A tlk 20 by
4,
(Name f persow-1- nowledgin (Nam , person ackn ledging)
ninature of Notary Pubil State of Florida) Wignature of Motary Public-State of Florida
Personally Know,i 7OR Produced identification Personally Known 11�011 Produced identification
Type of Identificat Type of Identification Produced
ry Public 81 ofrda
10�
Notary Public Stale f Fjcorid-
Tracie L La0ea Florida
Commission No. Commission No yr Not.
1591
110.Erz' 59114Tie
rAMLam '11
OMMMIon Er=I AAy F, 59114
oFo 5/2,lr
E I
Exp1reS01125/2016
Exolres 01/2512016
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS