HomeMy WebLinkAboutBuilding permit appALL APPLICABLE INFO MIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/15/2020
Permit Number:
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 x Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 169 Ocean Estates Dr #CATV
Legal Description: Avalon Beach Right of Way
AVALON BEACH PUD (PB 55-19) ROAD R/W (OCEAN ESTATES DR) (1.28 AC) (OR 3292-247)
Property Tax ID #: 1403-500-0002-000-9 —
Lot No.
Site Plan Name: SP - Avalon Beach - 169 Ocean Estates Dr #CATV
Comcast Power Supply Block No.
Project Name: -
Setbacks Front — Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install Comcast power supply cabinet approximately 30 ft west of road edge between Comcast Node
cabinet and FPL transformer T-7
CONSTRUCTION INFORMATION:
T itionawor to neo r orme un er t is perrriit — c ec a aPpy:
HVAC Gas Tank ❑Gas Piping _ Shutters
Electric Plumbing Sprinklers F] Generator
Total Sq. Ft of Construction: 8
Cost of Construction: $ 615.09
OWNER/LESSEE:
SFt. of First
j Floor: _
Utilities:cnSewer L-_ISeptic
Name Comcast - Jared Pope
Address: 3960 RCA Blvd, Ste 6002
City: Palm Beach Gardens FL
State: _
Zip Code: 33410 Fax:
Phone No. 561-804-0957
E -Mail: jared.pope@comcast.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
QWindows/Doors
Roof Roof pitch
Building Height:
Name: Gary J Gifford
Company: Gary J Gifford, Inc.
Address: 350 SW Linden St
City: Stuart State: FL
Zip Code: 34997 Fax: 772-219-0146
Phone No. 772-286-0954
E -Mail: giffelec@comcast.net
State or County License: EC13001574
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name-,
Narne:
Address:
Address:
City: State: _
City: State:
Zip: Phone
Zi P: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name,
Name.
Address:
Address:
City:
city:
Zip; Phone:
Zip; Phone:
OWNER/ CONTRACTOR AFFIDVIT, Application is hereby madeto obtain a permit to do the work and installation as indicated.
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 errnii holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an¢Pcovenants that may restrict or pro hlbIt such
structure. Please consult with your Home Owners Association and review your deed or 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 roams and accessory uses to another non-residential use
WARNING; TO OWNER: Your failure to III a Notice of Commenternent may result in your paying twice for
impprove ments to your property. A Notice of Camrnencement m List be recorded a nd pasted on the jobs ite
before the first inspection. If you, intend to obtain financing, consult with lender or an attorney be ore
cornmencinirmork or reeordiniz your Notice of Commencement. A
Rev. 8/2/17
Signa ore of C6 n-tdcfo gKicenn, odder
Signature oT owner L s CoIntractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF MartinCGIJhlTY
---
OF Martis ,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
thisl2L day of June 2o2O by
this _151b day of June, R .20_10by
Gari,{ I Gifford
Gary I Gifford
Name of person making statement
Name of person making statement
Personally Known V OR Produced Identification _-- _
Personally Kno wn #` OR Produced Identification
Type of identification
Type of Identification
Produced
Produced
-r
(Signature of Nota r + P 9fi t8 y to C'
Sus2n car use
(Signature of Nota P ilv ]ate of Fia,idd
Susin �t, Garrasgvlll
;,, MyComrr,i
'Not-
MyGomft.Gs� 0275+7
Commission No. r fi
'kg'�.---%:tpir�9s
Commission No. .'
�.ir�a SGa�
'
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
-
REVIEW
GATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17