HomeMy WebLinkAbout1609-0003 08/31/2016 3:36 PX FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/34/2016 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 X Residential
PERMIT APPLICATION FOR: Electrical
P.R ,I:Q:CATIQN:°•'••��:�� ::�.': ::.::..:i.
Address: 5690 CARLTON RD
Legal Description: 9 36 38 2 812 FT OF NW 1/4 OF NE1/4 LYG S OF OKEE RD AND SE OF CARLTON RD-
LESS CANAL RM AND 2 612 FT OF N 253 FT OF SW 1/4 OF NE 1/4 AND THAT PART OF NW 1/4._-
Property Tax ID#: 3209-121-0022-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I�.�cr:L::ral..„F, .f: ,a7 }.;y; .... •s�;::. ;i.,:.v'•r
•• a :: < :. . .. .. •. _ �,�. � lil .:: �;J •,.Fi i'i'<•'i r :i.l: :t•{.J ��{, :;f}'c
J. �;,•.'. Nr;,s'i�,:(�';is ...
SERVICE CHANGE FROM 200 AMP TO 400 AMP.
• "`' .;,.u,. r'<f�i�;:-a:Yhet:ti�•J�@':.'a,,:+?.:1 r�ttT:;.?� .t.. -;v. i.
. . ,. , .I � .I`.:• _ .I�• qui: ,.k=.•:-r;
CQINSTR ..:CTITOI\t�NFORiMA'TIO.
1 k:J.x• b: I. ��•: :1. V.I., rpP: s2•v. J.d:i:;.r•.
Additionalwork to e e or m—ed unclerthIS permit—check appy:
1]HVAC Gas Tank ❑Gas Piping _Shutters l]Windows/Doors
ZElectric ❑Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of f=irst Floor:
. Cost of Construction:$_2,385.00 _ Utilities: Sewer[]Septic Building Height:__.. .
':. .. :.
...O,,W�N., .. EE::., ".y:e,F.....f.{.•...:!'..'.!�A::._.[-:i.?l'1.rrr�9.i.��.'�;�ii.t'.!S.•�:�!:���::'�•"•{�..:�:RII..;.:..�,4r.;:.J:4.a i.9.: .�. :'4,a" 5eF'Vi-i;T:i.a');:C': Q ;.;; :r.:, '�I�?•.�t f:.'.2f: _.�:.z.;T�.>:;'.•����i�•ri'-`'viN�• A•.gAlS4 -
k'
:i' ':+;1r�•:t:•. 'y+.}�7n�,vS;'dgdlii'..J '�'- {ii� '
Name DRAWDY BROTHERS INVESTMENTS Name: JbHN M.APPLEBEE
Address: 10690 W.MIDWAY RD. Company: JAK, Inc., d/b/a Applebee Electric
City: FT-PIERCr- State:FL Address: P.O_ Box 15
Zip Code: 34945 Fax: City: Ft. Pierce State:FL
Phone No.(772)466-3303 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.not
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.
08/31/2016 3:36 PM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
SUpP"E'E"NTAE Cf N TR'UC7"I
O1V .LITE.N"LAW I'N�Fi�`R-�IIATI.CEN:;':;:::::
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
c=mpxdng w or recording aur Notice of Comma ent.
s
Sign ure of Own r Le ee/Agent ig ture of Co i ense Holder
E OF FLORIDA� ee STATE OF FLORIDA p
COUNTY OF .�1. COUNTY OFo�-L`Q
The forgoing instrument was acknowledged before me The foroing instrument was acknowledged before me
this' % day of 20 1-6-by this-SE day of 20\\a by
(Nade of person ack wledging) (Nam person ackno I dging)
( i ature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
�dle
OR Produced identification P Ly_Known OR Produced Identification
Type o I i MAW
Natery 6—Publ ��� �
+/x� r�oRary PPd�C ftte or Ft e4a
Commission No. - Trade L Lamb ff�S I�,1 Commiss T��g l-Amb F aazeea (S I)
scion FF SS3
ear. Expku 01129!2020 P1126/Z020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS