HomeMy WebLinkAboutBuilding Permit Application To: Page 2 of 11 2019-09-19 20:46:14(GMT) 17722647780 From: Maya Gifford
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �q
Date: 9/' Permit Number:
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RECNIV1=D
Building Permit Application SEP 2 0 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical
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Address: 3903 Metzger Rd #CATV Fort Pierce 34947
Legal Description: right-of-way
Property Tax ID#: 2408-2220003-0001 Lot No.
Site Plan Name: SP-Metzger Rd Block No.
Project Name: Comcast Power Supply
Setbacks Front Back: Right Side: Left Side:
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Install Comcast power supply cabinet at FPL pole approx 28 ft south of Metzger Rd, 140 ft west of N
39th St. Remove damaged cabinet
Additional work to be Dertormed under this permit—c ec all that apply:
OHVAC 0 Gas Tank ❑Gas Piping ❑Shutters I]Windows/Doors
Z✓ Electric 0 Plumbing Sprinklers 0 Generator Roof Roof pitch
Total Sq. Ft of Construction: 8 SFt.of First Floor:
Cost of Construction:$ 717.75 Utilities:n Sewer Elseptic Building Height:
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Name Anthony Springsteel Name: GarV] Gifford
Address: 3960 RCA Blvd, Ste 6002 Company: Gary J Gifford, Inc.
City: Palm Beach Gardens State: FL Address: 350 SW Linden St
Zip Code: 33410 Fax: City: Stuart State:FL
Phone No.561-804-0973 Zip Code: 34997 Fax: 772-219-0146
E-Mail:anthony.springsteel(cDcomcast.net Phone No. 772-286-0954
Fill in fee simple Title Holder on next page(if different E-Mail: giffelec comeast.net
from the Owner listed above) State or County License: EC13001574
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
To: Page 3 of 11 2019-09-19 20:46:14(GMT) 17722647780 From: Maya Gifford
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DESIGNER/ENGINEER: _,y .Not Applicable' MORTGAGE.COMPANY: x—.NotAppiicabie
! Mame; dame:
Address: . Address:
City:. State: City: State:
Zip, Phone zip.-�Phone.
M SIMPLE'TITLE HOLbEk: i'6f'Applicab4e ROWD'iMG'.COMPANY, Not Applicable
Name:: game:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/Ct} 4T RAC"t O.R AFFIDV13:Application is.hereby made-to obtain a permit.ta do the work and installation as.indicated.
I certify,that no work or-Installation.ha.s commenced pr3Qr 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
:vhich.is in conn list with any applicable Borne Owners Association rules,bylaws or an. covenants.that may iestrlct.or prohibit such
.structure.Please.tonsult with your Home Owners Association.and review your deed for-any restrictions.which rnaY:apply,
In consideration of the granting cif this regaested permit;I do hereby agree that.l will,in all respects,perform the work
in accordance.with.the:approved plans,the Florida Building Codes and_St.'Lucle CoubtyArriendments.
The following building permit.appiication.s are exempt from undergoing a full cwicurrency review:room additions,
accessory::structures-swimming pools,fences,walls,signs,screen rooms.and accessary:uses to another non-residentlal use
WARNING TO OWNER.Your failure to Record a N60;e of Cc fni.r incemeot.may're&ult in ypur pay ng twice for
improvements to your property...,Notice of.Commencement must be:recorded.and'posted.cin'the jobsite
before the first inspection.if yowinteN.nd to obtain financing,ponsult with ►ender o�-'an attorney.:be ore
commencin ork or re' ordln ur tice of Commencement.
signature o oir;rner ,t ss contractor as Agent for'O;Wer Sign a..u'r :o€iron o ' scense Holder .
STATE OF Fi.6:RIDAMartinSTATE OF—FLORIDA
COUNTY 0 } COI TY OF.iy-in
The forgoing instrument was acknowledged before.me `The for o.ing instrument,was acknowledged before me
this.1%ay of September ,20.19 by this. day of. September' 2{� 19 by
am j Gifford.
Dame of"person. ..
+x,aking.statement � .Name*afpers.an makingstatement
Personally KnownOR P:roduced.ldsntlficatlon :Personally Known. OR Produded]dentifieatior,
Type of Identification Tyle of l.dentifseation
Produced Produced
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�Srgnat4ire of Notar P to �f o li a j�4o�<1' , (St. riature of Notar_ P 11 Flt icf ��e F;0(7:aa
? ,� se7LkS'1r'C circ`rarS, r:s, P �'t 4r`t�.+!cirCel�tir to
Commission No.. a tie.t �s :1Yl6tYi k1i �7 ij t M Ott ;T N y.ra rr 3 r j���� �� l
.s. - "'.}firM-3,s}1,.'� ( 'Gonlmis„ion No. v
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REVIEWS FRONT l ZONING SUPERVISOR � PLANS VEGETAT-16N. SEATURTLE r MANGROVE �
COUNTER. li6VIEW ftEViEih�' ..REVIf=Vi/ ,I :REVI£W� REVIEW! ( REVIEW
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DATE , --�—�--=---- --.. �-----�-- —T
RECEIVED ,
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COMPLETED i
Rev.8/2/27