HomeMy WebLinkAboutBuilding Permit Application 01/18/2017 11:14AM FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1`� l7 Permit Number:
*...^.;O RECEI VrD JAN 18 2017
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Vlrginla Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical
PR'O'P.OSED''(MOROVENtENT;LOCATION:
Address: 14485 C24 CANAL RD,FT.PIERCE, FL 34987-3100
Legal Description: 19/20/26 36 39 THAT PART OF SECS MPDAF: FROM APT ON SW R/W LI OFC-24 CANAL AS PER
DOT RAW MAP LAST REVISED 9-24-59 REIGN A PT OF TANGENCY AS SHOW ON SHEET 8,TH N 46 56 00 E.,...
Property Tax ID#• 3319-100-000000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
::b --AIL DESCRIPT(ON''OF'1N.ORK:
SERVICE UPGRADE: SAME FOR SAME 125 AMPS
CONST RU.CTtON1;INFO: MATI'O.N:' _
..... •..
i lona wor to e e Orme Under tispermit—check all appy:
�HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
Z✓ Electric 0 Plumbing ❑Sprinklers F Generator ❑Roof
Total Sq_Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,800-00 Utilities.
Septic Building Height:
O E S ;CONTRA` T
Name G&S KAMMERMAN LLC Name: JOHN M.APPLEBEE
Address:4641 TREE FERN DR Company: JAK, Inc.,d/b/a Applebee Electric
Cita: DELRAY BEACH State:FL Address: P.O.Box 15
Zip Code: 33445-7065 Fax: City: Ft.Pierce State:FL
Phone No.(910)596-1708 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: applebeeelectricQa 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.
01/18/2017 11:14AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
:SLIP, LEMEN AL CONSTRUCTION LIEN'LAW:INFORMg1
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: Stater City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: —Not Applicable BONDING COMPANY: _Not Applicable
Name: Name•
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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
commencin work or recording our Notice of Commencement.
s
SUlu
Owner/Lessee/ e t Sign ure ontractor/Licen HoMer
STLORIDA STA OF FLORIDA
COF__ - . LN4COUNTY OF
The fo ung instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this iMay of 20 Mby this day of 20 J2 by
i
(N f person ac wledging) (Name novlldglng)
(Si tune of Notary ublic-State of Florida) (Signa f Notary Pub ic-State of Florida)
Per r f'cation er
n iony o entifi t u
Camrtdsfioe FF 9478$3
Commis �MYcommlalonFF9478&6eal) Commission No
a slzozo
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE' MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS