HomeMy WebLinkAboutBuilding Permit Application 12/16/2015 10:07AN FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED `
Date: Permit Number:
RECEIVED
Building Permit Application DEC 16 2015
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 X Residential
PERMIT APPLICATION FOR: Electrical
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Address: 3313 OLEANDER AVE CAS? -49
Legal Description: INDUSTRIAL S/n BEG AT PT 95.2 FTS OF NW COR LOT 9 ON E RNV FEC TRAGI#8,TH CONT S 100 Ff,TH E TO ELI LOT 9,
Property Tax ID#: 2428-502-0012-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: _Right Side: Left Side:
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REPLACE 3-PHASE ELECTRICAL SERVICE WITH A SINGLE PHASE, 100 AMP ELECTRICAL
SERVICE.
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rrlona wor to ewe orme un er is permit—a eck a appy:
❑_HV AC u_Gas Tank ❑Ga5 Piping _Shutters L1 Windows/boors
1zElectric E Plumbing []Sprinklers 11 Generator Roof
Total Sq. Ft of Construction: S Ft,of First f=loor:
Cost of Construction:$ 1.500.00 Utilities: Septic Building Height:
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Narne CHARLES&CHRISTINE RALSTON Name: JOHN M.APPLEBEE
Address:265 TROPIC DR Company: JAK, INC.,dba APPLEBEE ELECTRIC
City: LAUDERDALE BY THE SEAT State:FIL Address: P O BOX 15
Zip Code: 33308 Fax_ City: FT- PIERCE State:FL
Phone No.(954)771-0430 Zip Code: 34954-0015 Fax- .(772)466-3765
E-Mail: Phone No. (772)4667930
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: EC#0002956
if value of construction is$2500 or more,a RECORDED Notice of commencement is required.
12/16/2015 10:07AN FAX 7724663765 APPLESEE ELECTRIC 0004/0005
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DESIGNER/ENGINEER: _Not Applicable MORTGAGErCOMpANY: 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 with lender or an attorney before
commencing work or recording our Notice of Commencement.
O- IAA�)Irzice t s
Signatur of owner/Less e/ gent Sig ature Contractor lice a older
T F FLORIDA�I� STATE OF FLORI A
CO TY OF _04Y JXU-J"a.. COUNTY OF .
The fo oing instrument was acknowledged before me The forgping instrument was acknowledged before me
this 4 day of 7011,c 20 K_.�by this L51'day of D&__ 20/< by
�-bL
(Namtflf person ackno ging) (Na person ackn ledging)
ignature of Nmry Public-State of Florida) (Signature of No ry Public-State of Florida l
XPrsonall own OR Produced Identification rsSulall K p _OR Produced Identification
enentiflcati Type of(den
r r< Notary Public State of Florida Notary Public State of Florida
commission No. Tracie L gI) Commission o Tracie L Lamb UAW)
CommisEE 159114 1pp�fi 1591
• o! SWIles01125M01133 Expires01125/201$
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS