HomeMy WebLinkAboutBuilding Permit Application 12/08/2016 3:04 PM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 08/31/2016 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 Residential X
PERMIT APPLICATION FOR: Electrical
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Address: 483 DUSK WAY
Legal Description: TROPICAL ACRES BLK A LOTS 52,53,54 AND 55(2,92 AC)(OR 11492163)
Property Tax ID#: 2308-601-0052-000-5 Lot No._ _
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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REPLACING DAMAGED METER CAN AND RISER DUE TO HURRICANE MATTHEW DAMAGE.
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i lona work toe e orme un ert is permit—c• ec a appy:
HVAC Gas Tank Piping Gas Ppng _Shutters D Windows/Doors
U Electric 0 Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 1.500.00 Utilities.DSewer❑Septic Building Height:
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Name STEPHEN L CHADWICK Name: JOHN M.APPLEBEE
Address.483 DUSK WAY Company. JAK, Inc.,d/b/a Applebee Electric
City: FT.PIERCE State:FL Address: P.O. Box 15
Zip Code: 34945 _ Fax: City: Ft_ Pierce State:FL
Phone No.(772)201-0647 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@bellsoufh_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.
12/08/2016 3:04 PM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
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UE--SIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: R 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 andcovenantsthat 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
commencin work or recording our Notice of Commencement.
Signature Owner/Lessee YAJ16nt Si&atured-Contractor/Lir Tep6irer
TAT r
S OeFSTAT F FLORPA
S FLORIDAI
COU
COU OF— COUNTY OF
The forgoing instrument was vknowledged before me The fqrgoing instrument was acknowledged before me
.1 Moing in
this C 6Lr this day of,D2 r e--Io le- 201t.2 by
of - 20 110–by
jWa u!e—afperson acknawledging) (N of person acknowleckillig)
(Signature of Nota TV Public-State of Florida) (Signature of Notary Public-State of Florida
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE