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Building Permit Application
I . To: Page 3 of 11 2019-02-26 21:55:59(GMT) 17722647780 From: Maya Gifford . . .. .. . . . ALLAPPLICAKE INFO MUST BE COMPLETED FOR APPLICATION TO.BE ACCEPTED . Date:. -)<,--k-ifv„.... Parmit Number: k/k0),- P5 /-1,C REcp , . ' onfoRmwmpAwyo,:m. eve, : t,,,,:., ,,„tat•fs,:ti,..4.„.§-„,t,,,,.4„„: : :roofr-oz*xv•v;A: , . • FEB 272 018 ., ..fia4.4400,ittitiiar,...42itio Building Pettriit Application i, , grmittin,c, Planning gild DeveiaPrnent Services St. Luci PPrtMtgnt Building andCode Regulation Division County 2300 Virginia Avenue,Fort Pierce FL 3498. Phone:(772)462-1553 Fax:(772)462-1578 Commercial j( Residential ' , - PERMIT APPLiCAT1ON FOR: iEleOtrical INgk(:):afi:ifpilWgfMt opcKfipwi,,ggi :;::!.::,'Zi:n,::!;: ., :gif,:;: : ::!;iWi :-_,;,:T.:p1; :.-:.:.:N:'::R;.Mf : ::.,:g.;,:::-!:: "...i. -, Legal Description: right of way . ___, Property Tax ID#: 1420-222-0015-D004 right-of-way Lot No. -___ Site Plan Name: SP-5004 St Lucie Blvd , .. Block No. • - 1 . Project Name; Comcast Power Supply 1 . . !Setbacks Front Back: Right Side: Left.Side: 1 ' 137E41:41-41it6,-fiti6klifte41/4Y..6 .:w01114:,, :,-:,,,,,:c. ,::,:: :. ::.. :,:::..:.,. ::_. ::. :....,:: :,....,.:,,,.,.,:,:: -,,:,_..: :::,,-.,..,:,:::::::-..:.:.„..,...,,,,,-,,,, illtali new Comcast power aupplyabinet at FPL pole 6 6079 5611 03 located on the north side of St Lucie Blvd behind guard rail, 93 ft west of Hammond Or p, ow f-erlYWT4 0 IR—Oa? . : . 004$00030.40004100:004:: :;',gg,.:gi4;4::: : :;s ,p6cin!N:;:y.,g,i, , ::,i;..-,,: ,;, :i5,.. :N: :::::::;;,.sE:Zs,:'::: :; :::,::;,,:',;,:1, Additional work to lei-fOrrrieii under thiSP4Tigt":-•-check• fl ptai apply: r.,__I OFIVAC [... .1 Gas Tank DGas Piping Shutters 1.,..j Windows/Doors El Electric 0 PI um b ing 0 Sprinklers 0.,Generator 0 Roof = Roof pitch _ Total Sti,Ft©f 1:ongtruction: 8 Sc.Ft.of First Floor: Cost of Construction:$.609 . Utilities:L....,„.Sewer Septic Building Height: , OWNER/LESSEE --..S...,. .' .:"-i- : . ; : , .::- g " 101a0Cig!,.'::t;:: ::5;:r,:::::,,:: ;: i,:i:::4_:',.:!•,:: ::zj. -.:.s.:.:;::: :..1 . Name_Anthony Springsteel I Name: Gary J Gifford I Address: 3960 RCA Blvd, Ste 6002Gary J Gifford., Inc.. 1 Company: Palm Beath Gardens City: State: .FL I Address; 350 SW Lipden:St ' • Zip Cade: 83410 Fax: City:, Stuart Phone No,561404,0973 Zip bode: 34997 772216tate:Ft,' Fax; - 9-0146 . . . . E-Mail:,anthony_springsteel@6able.comeast.corn 1 Phone Na. 7727286-0954 _____ Fill in fee simple Title Flakier on next page(if'different E-Mail: gitteleo@oonioaeLnet . . [from the Owner listed above) State or County License: Ed I 36.01574 -- If value of Construction 1642500 Or more,a RECORDED Notice of Conyhencement is required. . • _ . . . . • 1 1 • I To: Page 4 of 11 2019-02-26 21:55:59(GMT) 17722647780 From: Maya Gifford . •••••---------••••• i , I ._ . . .. . ,... ,_ _ .. .... . .. _ 1::.woitt otitoodookto56,00.:4-*,;".:.060:KtioNe :,..::.}::E:i.,;.],:::,:: : ::;.::.:!.,,...F .!!,.,-0,: :::,,,:).ip::::0..:,:...ni:;.:,:_,:!;.,::::,,,,!.,,,,, :DESIGNER/ENGINEER: x Not Applicable I MORTGAGE COMPANY: x Not Applicable I ' I Name: Name: I, Address: . - Address: . . . .. .. --- .- . • •• . ..._ City:. . State: City: • State: IL: Zia .. Phone: . .. , Zip: _Phone____....,.. -- ........ r.--. - . . . • FEE SIMPLE TITLE HOLDER: •.Not Applicable BONDING COMPANY: __Not-Applicable Name: Name: . • •• Address: .. . -.. .Address:. •. . i• City: City: • — - - • Zip: Phone: Zip, . Phone; . • . . . . .. . .. • • . . • . .. OWNER/CONTRACTOR AFFI.DVIT:Application is her:eby made to Obtain_a permit to:do the work-and installation as indicated. •. .• i certify that no work Orit150114tion has.comrnenced prior to the issuance of-a.perrnit St Lucie County makeS azo representation that is-grantingi permit will authorize the permitholderto build the subject structure which is in conflict with any•applicable Home Owners Association rulq,bylaws or and Cove,nants.that may restrict or prohibit such structure.Pleaseconsult with your Horne Owners-Association and reviewyour deed for any-restrictions which may apply. In consideration of the•grenting of this requested permit,I do hereby agree•that I will,in.all respects,perform the work in accordance with the approved.plans,theFloricia Building Codes and St,Lucie County Amendments. Tile-following buildingpermit applications are exempt from-undergoing a full 6oncurrency review.:room additions, • accessory structures:swimming pools,fences,walls,signs;screen morns and a.ccessory uses to arioti:ier non-residential use •. WARNING TO OWNER:Your feiluretd Record a Notice of Commencement.mayresult in your paying twice for ,. • improvements to your property.A Note of Commencementmust be recorded.and posted on the jobsfte . before the first inspection.If you intend to obtain finanting,consult with lender or an attorney before ! • commencing work or recording your,Notice of Commencement I - -;.,• . ,. • /. •. - . 1, ' .ir • .1. , - -I , • .;#' ,,, , . :., • , •• . . 4,-4 ..I. ,.• Si..'attire of OW.f.ii. ssee/C.o tractoreSAgent.for Owner Signature.irtof7...ctorg.icerc:'••'Hir der %,.„.......,----- ! . STATE OF FLORIDA STATE OF FLORIDA COUNTY OF mettin . • • COUNTY OF hw . in - 1 . • The forgoing instrument was.acknowle.dge,a before roe 1 , The forgoing instrument was acknowledgsal before.me , • this 26In -day of FeMary 29a by thiS 2E day of February ,2Q . by •1 GaAs d GiffardGary st Giffoid . 1 . ,,. Name of person making statement Name or person making statement , . Personally Known-x OR Produced Identification Personally Known x OR Produced Icientifitation,_. ... I Type of Identification • Type of identificaUbri ' 1 ' Prod i.ted . . •Produrcl .,-- .;" • . . • 1 . . " • .. .'i . • AgaI . . . . . • IMP,• A • -41''"I'.4-',44- `.4i4v.66k • 4" / lieo-tai.1.......4.4 •• :iiiiiilicii- 1'4 idwEistifi. i'a/ "(Si&pat.t.ire.orNot 1' .45.00,5v4-,74'.: ..1F44. -,,.. - .-4 "latTlakifaV,tiele-m. ,, i ri•:I -•• - • `3, • •;=•) e •Susan 0...a.rawto 1, •. • • • • n ,s,P I, . •" t14:Fiz.,..0 Nly Corfn-rtiss-i.011,, • '''• tiiiy CuTana.s.toa G.,0,..,41./ I .• Commission No. 4- •sp-- soirer loizase.af) CorM:z=aso ( eal) • 4,"„AV,,,,.."4.-,"","iseseNA""etew 1 • • wy,W,,,,,,,? 1 1 , i — • • -1---- .. .„— i, I • : REVIEWS •-FRONT ZONINI SVP.ERVISOR PPIANS. VEQETATION. I SEA TUR1.L5 ' MANGROVE1 1 1 . COUNTER .REVIEW : .REVIEW REVIEW I REVIEW REVIEW REVIEW i ' . . ...-- DATE . .. 1----- . . RECEIVED . . . . • . - . • DATE • - - - ' COMPLETED I • , . . . .. . ,r Rev.8/211.7 — • : • , ' . . . I i 1 . I . .