HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/23/2016
Permit Number: 1602-0381
Building Permit App
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL134982
Phone: (772) 462-1553 Fax: 772 462-1578 Commercial
Residential
PERMIT APPLICATION FOR: Electrical
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Address: 1412 LONE PINE DRIVE
Legal Description:
Property Tax ID #: 3409-505-0015-000/2
Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side:
Left Side:
D I D o (OF WORK0,
TEMP CONSTRUCTION ELECTRICAL SERVICE.
o o o•.--onam,
iMiTional work to be er ormed under t is permit —,c ec
a t a app y:
HVAC Gas Tank Gas Piping
Shutters Windows/Doors
Electric Plumbing Sprinklers
Generator Roof
Total Sq. Ft of Construction:
Sc. Ft. of First Floor:
Cost of Construction: $ 500.00 Utilities:
Sewer Septic Building Height:
0CONKTRAOR:
Name DAVID & BETH FARINACCI
Name: JOHN M APPLEBEE
Address: 2502 GREY TWIG LN
Company: JAK INC. D/B/A APPLEBEE ELECTRIC
City: FT. PIERCE State: FL
Address: P. O. BOX 15
Zip Code: 34981 Fax:
City: FT. PIERCE State: FL
Phone N o . (772) 519-3234
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: EC #0002956
If value of.construction is $2500 or more, a RECORDED Notice of Commencement is required.
.:§UPPLEW EN74-lU CCONSIMUCTO cc -,N LA W NFORMA Ar,& - 0
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DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: r
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 vour Notice of Commencement.
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Signa re of Owne L s e/Agent
t��e of Contra or/Li n Holder
STATE OF FLORIDA
STATE OF FLORI A
COUNTY OF
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this day V_e_� 20 by
The forgoing instrument was acknowledged before me '
th day �LD 20 Mo by
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REVIEW
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(Na e person ackno\M dging)
(Nan of person ack ledging
(Signature of Notary Public- State of Florida)
(Signature of Notary Pudic- State of Florida )
P.4rgonallyy K w OR Produced Identification
Prsonally�.n OR Produced Identification
Type of Identification P
Type of Identification P d
�q Notary Public State of Florida
Commission No. Tracie b
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Commission No. a� Tracie L
My Commission FF 947863
Expires 01/28/2020
94 863
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�d� Expires 01/2512020
Revised 07/15/.2014
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