HomeMy WebLinkAboutBuilding Permit Application 01/18/2017 11:16AN FAX 7724663765 APPLEBEE ELECTRIC 0002/0005
ALL APPLICABLE INFO MPST*COMPLETED FOR APPLICATION TO BE ACCEPTED
Date�4A90MW C)I // )/,%/� Permit Number:
RECEIVED JAN 18 7017
K-OF-Oag 1104.0
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: Elect6cal
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Address: 14475 C24 CANAL RD,FT.PIERCE,FL 34987-3100
Legal Description, 19/20/26 36 39 THAT PART OFSECS MPDAF-FROM APT ON SW RNV LI OF C-24 CANAL AS PER
DOT R/W MAP LAST REVISED 9-24-59 BEIGN A FT OF TANGENCY AS SHOW ON SHEET 8,TH N 46 56 00 E.__
Property Tax ID#: 3319-100-0000-00.5 Lot No.
Site Plan Name; Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
.DETAILED:D ON.dF:,W00`.;-.:.
SERVICE UPGRADE: SAME FOR SAME 125 AMPS
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AdClitions lworl(tobepe,,rko-rmeci underthiSperms t-checK all tl]at apply-
FIVAC 0 Gas Tank OGas Piping Shutters utters F]' Windows/Doors
ZElectric F�Plumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft-of First Floor:
Cost of Construction:$ 1,800-00 Utilities:F]Sewer nSeptic Building Height:
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Name Q&8 KAMMERMAN LLC Name: JOHN M.APPLEBEE
Address:4641 TREE FERN DR Company: JAK,Inc.,d/b/a Applebee Electric
City: DELRAY BEACH State:FL Address, P- O.80x 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: applabeeelectriG@bellsouth.not
from the Owner listed above) State or County License: EC#0002956
If value of construction is$2soo or more,a RECORDED Notice of commencement is required.
01/18/2017 11:16AM FAX 7724663765 APPLEBEE ELECTRIC 0003/0005
SURPl,�SVifNTA :; ONsT."Ab O' N•LlIEN Li4WINFflR3V1AT1.C3N ,.
DESIGNER ENGINEER: T Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE BOLDER: —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 con€iict 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
commencing work or recording our Notice of Commence t.
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The forgoing instru ent was acknowledged before me The fo oing instru ent was acknowledged before me
this}� day of 20 aby this day of 20 L2 by
(NaryieP person ackn edging} (Name person ackno ledging)
(Signature of W Public-StState of Florida) (Signikilre of Notary ubiic-State of Florida}
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Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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