HomeMy WebLinkAbout1 App E - Ocean Resorts - 820 Doubloon Ln #CATVALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/01/2020
Permit Number:
J
BuildingApplicationPermit
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: Ocean Resorts - 820 Doubloon Ln #CATV
Legal Description: OCEAN RESORTS COOPERATIVE SITE 247 (OR 1400-961)
Property Tax I D #: 1410-502-0247-000-6
Site Plan Name: SP - Ocean Restorts - 820 Doubloon Ln #CATV
Project Name: Comcast Power Supply Cabinet - JB 318046
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
IDETAILED DESCRIPTION OF WORK: I
Install new Comcast power supply cabinet and service feeder at pole 6-6482-3142 located in the
vacant lot between 818 and 824 Doubloon Ln - approx. 1/4 mile west of entrance, 65 ft south of
Doubloon Ln road edge at pole line
CONSTRUCTION INFORMATION:
Additional work toe ertormed under this permit — check a appy:
FIIn
HVAC L_I Gas Tank Gas Piping _Shutters a Windows/Doors
aElectric Plumbing Sprinklers � Generator � Roof Roof pitch
Total Sq. Ft of Construction: 825 Sc.Ft. of First Floor:
Cost of Construction: $ 615.09 Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Comcast -Jared Pope
Name: Gary J 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. 561-804-0957
Zip Code: 34997 Fax: 772-219-0146
E -Mail: jared-pope@comcast.net
Phone No. 772-286-0954
Fill in fee simple Title Holder on next page (if different
E -Mail: Jiffelec@comcast.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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
r: -4.- J
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the worK and instaiiammi a�> 111U1c CJLcU.
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 ape
trmit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Associaion 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 ourproperty. A Notice of Commencement must be recorded and posted on the jobsite
p v
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Signature of 0 er essee/ ontractor as Agent for Owner Signature of Cont icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF Martin
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
g g
th is day of 120 by this 18th day of 120 by
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida )
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVI EW REVIEW REVIEW REVIEW REVIEW REVI EW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17