HomeMy WebLinkAbout1 Electrical Permit Application - Comcast @ 3451 Edwards Rd #CATVAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
LL L BuildingApplicationPermit
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 CB DG Funding
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 3451 Edwards Rd #CATV
Property Tax ID #: Utility easement C@ 2429-214-0001-000-7 Lot No.
Site Plan Name: SP - 3451 Edwards Rd #CATv Block No.
Project Name: Comcast - JB 850791 3451 Edwards Rd #CATv
DETAILED DESCRIPTION OF WORK:
install FPUA hand box, 20 amp 125 v #6 triplex aluminum Service feeder and Comcast rower sunnly cabinet
at FPUA pole located on the south side of Edwards Rd approx 80 ft NE of Lewis Ln. Remove damaged
Comcast cabinet at FPUA pole 10274 3223 Edwards Rd after new cabinet has been metered.
New Electrical Meter Yes Second Electrical Meter
CONSTRUCTION INFORMATION:
(Affidavit required)
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
Electric Plumbing Sprinklers Generator Roof Pitch
Total Sq. Ft of Construction: 9_25 cf Sq. Ft. of First Floor: n/a
Cost of Construction: $ $861.70 Utilities: Sewer _Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Comcast
Name: Gary J Gifford _
Address: 3960 RCA Blvd
Company: Gary TGifford 'Tnc
City: Palm Beach Gardens State:
Address: 350 SW Linden St
Zip Code: 33410-4289 Fax:
City: Stuart State: FL
Phone No. 772-286-0954 E-
Zip Code: 34997 Fax: 777-7 19-0146
Mail: aiffelec(&- comcast.net
Phone No 772-286-0954
Fill in fee simple Title Holder on next page (if different
E-Mail giffelec('O'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.
If value of HAVC is $7,500 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: x Not Applicable
BONDING COMPANY: x 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 conflicts with any, applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult 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 County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with Ander or an attornev before commencinp, work or recording your Notice of Commencement.
r
Signature of t r - r - Owner Builder as applicable
STATE OF FLORIDA
COUNTY OF Martin
Sworn to (or affirmed) and subscribed before me of _ Physical Presence or Online Notarization
thisday of Mar , 20 by
Name of person making statement.
Personally Known x OR Produced Identification
Tye of Identification Produced
(Signature of Nota
A. Notary Public Sta% of Flonda
Commission No. SUS asquillo
HH 063255
? of Expires 11/12/2024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev 10/12/21