HomeMy WebLinkAboutBuilding Permit Application 02/04/2016 4:26 Phi FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED °°7]
Date: 02/04/2016 Permit Number:_� (M I L✓
RECER"_D FEB 04 2016
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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 X Residential
PERMIT APPLICATION FOR: Electrical
Address: GLADES CUTOFF RD 1 SOW
Legal Description: 30 36 39 ALL-LESS FEC RR R/W AND GLADES CUT-OFF RD RM AND LESS FP AND L CO-
(652.38 AC)(OR 1366-2379: 1356-1848: 1433-759: 1447-10)
Property Tax ID#: 3330-000-0000-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
W. s'. 7��•
SERVICE CHANGE FROM 600 AMP TO 200 AMP.
b.a dnc rale 0144"{T
Additional work o be oeffo--rmed under t is perm —check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Z✓ Electric ❑Plumbing Sprinklers Generator F]Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2.388.00 Utilities:0Sewer OSeptic Building Height:
Name CLAUDE T.DAVIS SR I JAMES L DAVIS Name: JOHN M.APPLEBEE
Address:4355 SASAL PALM Ra Company: JAK, Inc.,d/b/a Applebee Electric
City_ MIAMI State-FL Address: P.O. Box 15
Zip Code: $3137 Fax: City: Ft.Pierce State:FL
Phone No.(772)216-9780 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: applebeeelectric@bellsouth.net
from the Owner listed above) State or County License: EG#0002956
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
02/04/2016 4:26 PDS FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
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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 with lender or an attorney before
commencing work or recording our Notice of Commencement.
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Si nature of wner/Lessee/Age t SignVtureContractor/Licens derSTAVOFORID STAFLORIp�q
COU .moo .ice COUNTY OF
The forgoing instr ent was acknowledged before me The forgoing instryment was acknowledged before me
this Nay of V-el , 20 IIL by this 20 1�by
(Na e f person acknow ging) (Na a of person ackn edging)
(Signature 67 Nota ;-Public-State of Florida) (Signature of Notary Public-State of Florida)
Pe o nown OR Produced Identification ff' sonail n OR Produced Identification
, , 7 o identifica
Naary puWfc state of Flows � Notary PuhYc Ss�leee W Fforida
Commission N Trod$L Lamb ea Commission No, e L LamblSeal)
issbo F 947 63 My Camnudesion FF 947883
or f Xpires oI125M020 �or EKMroz 01/2'=20
Revised 07/15/201,4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS