HomeMy WebLinkAboutBuilding Permit Application 10/13/2016 1:33 PK FAX 7724663765 APPLEBEE ELECTRIC 0002/0006
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: 10110/2016 Permit Number:
RECEAVED
d
Building Permit Appiication OCT 13 2016
Planning and Development Services
Building and Code F eguldrion Division?
2300 Virginlo Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: BeCtriCal
'P Rd PbSED"164110V
--p 'E'M-ENT LOCATION
Address: .1�GLADES CUTO-OFF RD
Legal Description: '29 36 39 BEG AT NW COR SEC,TH RUN S ON W LI TO GLADES CUT-OFF RD R/W,TH HELY ON RD R/W TO...
Property Tax ID#: 3329-211-0000-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side. Left Side:
pts, P-T- 1110 1i0P*WQRK,':--'
SNCA-AV-4t: 10 0 CtVv,PS
CQNSTRUCTIO'N'.:INFORI.VIATIQN:
Additional-won-k-t-oVe--in3-erfft-o--r-mecI under this perms -cMeck all=apply;
1JHVAC Gas Tank []Gas Piping FIShutters Windows/Doors
10 Electric L.,t Plumbing F ]Sprinklers 11 Generator D—Roof
Total Sq.Ft of Construction: SFt oef First Floor:
Cost of Construction:$ 4 cz) Utillities.12swer DSeptic Building Height:_
QwN tf.SSEir
NT &O.Ai
Name CLAUDE T DAVIS,SIR Name- JOHN M.APPLEBEE
Address-4355 SABAL PALM RD Company-, OAK, INC.,dba APPLEBEE ELECTRIC
City: MIAMI I State:FL Address. P 0 BOX 15
Zip Code. 33137 Fax: City: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 I if different E-Mail: APPLEBEEELECTRIC@BELLSOUTH.NET
from the Owner listed above) State or County License: EC#0002936
if value of construction is$2500 or more,a RECORDED Not-ice of Commencement Is required.
10/13/2016 2:19 PM FAX 7724663765 APPLEBEE ELECTRIC 0001/0002
SUP' LEM-ENTAL:CC7NSTRU:CTION.LIEN.LAW�INFO:R-MATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City-, State: City: State:
Zip: Phone: Zip: Phone:
I
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
coMrnencing work or recording our ti a of Commencement-
. \
s
ign ure of Owner/Lessee/ ignature ent Sf Contractor/Lice se H Ide
ll
TE OF FLORIDA% STATE OF FLORIDA
COUNTY OF COUNTY OF � , �c
The forgoing instrument was acknowledge before me The forgping instrume t was acknowledged before me
this day of l , 2okk-by this ay of 20 by
------
(NIson person acknowledg ) (IVa of person acknow ing)
L
.2 '1 1 )� _
(Signature of Notary Public-State of Florida} ignature of Notary Public-State of Florida)
rsonally Kn OR Produced Identification jPersdrnally Kno OR Produced Identification
- enti c Notary ALO Ot �� [VOr4ry PubAc$tae9 0!FipriOa
Tracie L Iamb S�� � 0: TracieL Lartib ( all
Commission iaaion F+4"3 y CommiSMan FF 947603
p 6pirea 01!25!2020 « Ex*u 01!2612020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
JINITIALS