HomeMy WebLinkAboutBuilding Permit Application - Comcast Cabinet - 5329 St Lucie Blvd #CATVAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L- 1CLL
� =1 1
`' Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: Electric
Comcast power suppy cabinet 8 20 amp 125 V #6 duplex aluminum service feeder
PROPOSED IMPROVEMENT LOCATION:
Address: 5329 St Lucie Blvd #CATV
Property Tax ID #: utility easement west north of 1431-221-0001-000-3 Lot No.
Site Plan Name: Site Plan - Comcast Cabinet @ 5329 St Lucie Blvd #CATV Block No.
Project Name:
Comcast - JB 840166 5329 St Lucie Blvd #CATV
DETAILED DESCRIPTION OF WORK:
install new Comcast power supply cabinet and 20 amp 125 v #6 duplex aluminum service feeder at FPL pole +P 22' slo St Lucie Blvd
200' w/o Center Rd. Remove damaged power supply cabinet from stub pole. FPL meter AA15040
New Electrical Meter No Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
x Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction: 8.25 sf
Cost of Construction: $ 861.70
_ Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor: n/a
Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Comcast - Anthony Springsteel Const Supv
Name: Gary J Gifford
Address: 3960 RCA Blvd
Company: Gary J Gifford, Inc.
City: Palm Beach Gardens State: FL
Zip Code: 33410-4289 Fax: 561-454-5899
Phone No. 561-804-0973 E-
Address: 350 SW Linden St
City: Stuart State: FL
Zip Code: 34997 Fax: 772-219-0146
Phone No 772-286-0954
Mail: anthonv.sprinasteel(a)comcast.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-mail giffelec(a�comcast.net
State or County License FC13n01574
If value of construction Is 2500 or more, a RECORDED Notice of Commencement Is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Uhblb Nt K/tNUI NttK: X NOt Applicabe
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone: _
x Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: xNot Applicable
Name:
Address:
City:
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 conflicts with an applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consuYt with your Homeowners 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie CountyAnd posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender an attorneybef a commencingwork or record In our Notice of Commencement.
Z?!a,Mr
Signature of Contractor - or wner Builder as applicable
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of x_ Physical Presence or —Online Notarization
thisAiLdayof January .20_22by
Gary J Gifford _
Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification Produced
✓Wu"` ..
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(Signature of No I - t I
f� Susan CarrasquNo clanAs
•
Commission No. HH OUM
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 1u/12/21