HomeMy WebLinkAboutBuilding Permit Application r
To: Page 9 of 10 2020-01-09 21:22:41 (GMT) 17722647780 From: Maya Gifford
ALL APPLICABLE INFO MUST BE-COMPLETE0 FOR APPLICATION TO BE-ACCEI TED �j'p) - 0 I (Q
Date: Permit.Numbe
a
Building Permit Plic ion .IAN I:.:Q.2020
planning and Development'.Services Permittingart
8tl 4i.r7`Cg andCodeRegulation Divis1ot StLucie �eP
2308 Virginia Avenue,Fort Pierce FL 349 . ce 6? County, FL
Phone:(772)462-1553 Fax:072)4*6a-1$79 Commercial x Rest e
PE MIT APPOCATION FOR' Eectrioal
t
Address- 9230 Potomac Dr CAT;(
Creekside Prase It
le gat Description: ._ �
Property Tax-lD#: 2327.501.0001-000.5 Lot N.o._
Site Plan Mame: SP-9230 Potomac Dr#CATV Block No,
Project lame- Comcast Powar Supply
Setbacks front Back:.-________Pight Slde:,_ Left Side:
lristaii Comcast p0W6r SUpPJY 04inetlservice feeder 25 ft north of P6t6mac Dr-approx. 544 ft:post of
Yorktown Dr. U- C � �' °J�� 0 ku Al i TyC
i-iona worK to'3 e rrorme unc ler. is permit c eca apply.
.HVAC Gas Tank as Pissing Shutters Windows/Doors
Mi
Electric Plumbing Sprinklers E]Generator O Roof Roof pitch
Total Sq.Ft of:Cgnstruaion: $ Sq.Ft.of First Floor:
Cost-of Construction:$.609-00 utilities:: Sewer Septic Building Height:
Kamp Comcast-Jared Pope Name: Gear J Gifford
Address: 3960 ACA Blvd,Ste 6002 ( Company: Gary-J, Gifford, Inc. --
Palin Beach'Garden.s FL 350 Ste'Linden St
City: atate: � Address: .
Zip Code: 33410 Fax: City...-.Stuart State:FL
Phone No.561-804-0957 � � Zip.Code: 34997 fax: 772-219-01446
E-Mail:Wed.00pe6comcast.het ` Phone No. 772-286-0954.
Fits in fee simplq Witte Holder-on next`sage(if different E-Mail:_glflalecQcorncast.net
from the Owner listed above) State or County License, E013001574- .
if value of con.strUction is$25.�oi•.rnare,a WORDED Notice:.o Commencement is required,
To: Page 10 of 10 2020-01-09 21:22:41 (GMT) 17722647780 From: Maya Gifford
DESIGNER/ENGINEER' -Not Applicable MORTGAdE COMPANY: x Not Applicable
Name; Name.
Address: Address;.
City: ,... t ate
State: City., St
Zip: Phone _ Zip. Phone:
( FEE SIMPLE TITLE HOLDER: !Nof.Appilcabfe BC3N611NIC�C'CIMPANY: —'No't Applicable
1 Name: Name.
Address Address:
Cityty
G"
r
Z' Phone:
ZI Phone: Ip.
OWNER/CONTRACTOR Is.hereby made to.obtain a permit.to do this work and installation as indicated.
I certify that no work or installation has commenced prior to the Issuance of a permit.
St.Lucie Count makes no represeritatiori that Is.granting apermit wi€I 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 Norrie Owners Association and.reyiew your deed for any restrictions which.may .apply.
In consideration of.the-granting of this requested permit,I do hereby agree that.l will,in all respects,perform the wcirk
in accordance with the.approval plans,the Fibrida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,s�,vimming pools;fences,.walls,Signs,screen rooms and accessory:uses to another nonresidential.use
WARNING TO OWNER:Yoftr fall4re to Record.a Notice of'Commencement may result in your paying trice for
improvemr7nts to your property,A'Notice of Commencement must be recorded and posted on.the jobsite.
be€bre the.first inspection.if you Intend to.obtain financing,consult with lender or ah attorney b bre
cornm6ncln ork orrecordin ur Notice of Commencement.
Signatdre of Owner !ti . Contractor as Agent for Owner* Signa ure of ContskfoOkicerise golder
STATE OF FLORIIPA STATE'OF FLORIDA
COON "d i1wlF COUNTY OF��R
.. i
The foatl sing instrument was acknowledged before rrie The far cring instrument was acknowledgedbefore me
th,s dayofianuary 20 aow by this$day of January 2020 by
GaryJ Gifford
I Name of person.making statement Name.of person making statement
I Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced- Produced _
trcl YAs
e " 'Pi b fes] is dr Fiat d
(Signature of'Neter(P oto I V? aF c9f b ffa} (SI!snature 161''Nota
f vSGtnr7��trd t' ry ."ip,. uman�-�t`3�riL�glJilsG
<y a r::m� ? z_ a �iy c a7te i t �.ttt2 �tf j
Commission No- 3, r iy CommissiCn No.
Z
REVIEWS i FRONT ZONING SUPERVISOR PIANS VEGETATION I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW ¢ REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE t
COMPLETED
Rev.B{2/S7
I_