HomeMy WebLinkAbout1 App E - 5292 Beachblanket Cir #CATVALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/01 /2020
Ca N-r y
F L C3 R ! 0 A
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: Ocean Resorts - 5292 Beachblanket Cir #CATV
Legal Description: OCEAN RESORTS COOPERATIVE SITE SITE 7(OR 3697-933)
Property Tax ID #: 1410-502-0000-000-3
Site Plan Name: SP - Ocean Restorts - 5292 Beachblanket Cir #CATV
Proiect Name: Comcast Power Supply Cabinet #2 Ocean Resorts - Comcast JB 318046
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Install new Comcast power supply cabinet and service feeder in the rear of 5294 Beachblanket Cir fed
from 2nd FPL pole south of Angelfish Dr on the west side of N Al
CONSTRUCTION INFORMATION:
Additional work to e ertormed under this permit — check all h apply:
RHVAC Gas Tank Gas Piping Shutters ❑Windows/Doors
ZElectric � Plumbing ❑Sprinklers � Generator � Roof I I Roof pitch
Total Sq. Ft of Construction: 8.25
Cost of Construction: $ 615.09
Sp. Ft. of First Floor:
Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Comcast - Jared Pope
Name: Gary 3 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: giffelec@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: x 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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 a permit will 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 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 your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin,Q work or recordiniz your Notice of Commencement. ('
Signature of Owner/ Lessee/04A for as Agent for Owner
1 R
Signature of Contra`ote64lcense Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Martin
COUNTY OF Martin
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 30th day of November , 20 20 by
this 30th day of November , 20 20 by
Susan Carrasquillo
Susan Carrasquillo
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Flori a )
(Signatur oUpkary
Susan Carrasquillo
omrn►ssio�� HH 0632
Commissi) HIo66 24 �eal)
.► ary Public State of Florida
Commissio 3 Carrasquillo eal
. ,, or My Commission HH 063255
11
Expires 11/12/2024
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Rev. 8/2/17