HomeMy WebLinkAboutBuilding Permit Application 10/25/2016 10:03AN FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/25/2016 Permit Number: �� V�
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Building Permit ,Application
Planning and Development Services OCT 2 5 2.016
Building and Code Regulation Division PER.VirrTlilG
2300 Virginia Avenue,Fort Pierce FL 3498,2St• UCie Count FLPhone:(772)462-1553 Fax: (772)462-1578 Commercial X ResideAY_ y'
PERMIT APPLICATION FOR: Electrical
PROPOSER
Address:
::- •`'
Address: 34101 ORANGE AVE
Legal Description: 18 35 37 ALL(695.31 AC)(OR 394-1419: 1173-881)
Property Tax ID#: 2118-111-0001-000-6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
E§ -A. �OF_WrORK:
SERVICE UPGRADE: SAME FOR SAME, 200 AMPS
CON•STR'.'U' 0.NTIO;N: "
Additionalwork tobp-nerformed under this permit—c ec a appy:
OHVAC 0Gas Tank FIGas Piping _Shutters Windows/Doors
LJ Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 2,250.00 Utilities: Sewer Septic Building Height:
l"EACT .;,
Name BERNARD A EGAN GROVES,INC Name: JOHN M.APPLEBEE
Address:1900 OLD DIXIE HWY Company; JAK, INC.,dba APPLEBEE ELECTRIC
City: FORT PIERCE State;FL Address: P O BOX 15
Zip Code: 34946 Fax: City: FT.PIERCE State:FL
Phone No.(772)201-7720 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(PBELLSOUTH.NE
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.
10/25/2016 10:03AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
S.U1?F'L M'ENTAIL'`CONSTR..UC`�ION.TEN I AW!.INFO;RMATION:;
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 ermit will authorize the permit holder to build the subject structure
Which is in conflict with any applicable Home Owners Assoc etion 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,Ido hereby agree that 1 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.
_5
_Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLOIDA STATE OF FL ID
COUNTY OF COUNTY OF
The for Ing Inst um was acknowledged before me The for ing ins nt as acknowledged before me
thiso� ay of 20 aby thisay of 20 by
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(N m f person ack ledging) (Name person ackn ledging)
(Si tura of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
er onall OR Produced Identification
Type o Identifi Type of Identif' a igp ro P�y�
NW-y Public surae of FWAaa Trade L Iamb
Commission N • TmdR m�//q�aII1 Commission N MycommissfonFF �)
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OF Expires oiOR020
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR - PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS