HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �d as 5 Permit Number: -d3ror
e "
RECEIVED OCT 22 2015
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`fMPROVEMENT LOCATION;
Address: 7505 Commercial Cir#CATV
Legal Description: KINGS HIGHWAY INDUSTRIAL PARK-UNIT ONE- BLK A LOT 7(0.99AC) (OR 1506-1583)
Property Tax ID#: 1335 8010008 000 7 Lot No.7
Site Plan Name: Comcast Power Supply Block No. A
Project Name: Comcast Power Supply- Pressure Pro
Setbacks Front Back: 'Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install new Comcast power supply cabinet on the west side of FPL pole located approx 30 ft south
of Commercial Cir road edge, 1030 ft.west of N Kings Highway
CONSTRUCTION INFORMATION:
Additional work toe e orme under is permit—check a appy:
HVAC rl Gas Tank ❑Gas Piping _Shutters n Windows/Doors
�1.
�✓ Electric 0 PlumbingSprinklers 0 Generator Roof Ej
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ 722 Utilities:Sewer Septic Building Height:
OWNER/LESSEE'. 'CONTRACTOR: . .
Name Comcast-Bryant Coyle,Const Spec Name: Gary J Gifford
Address:10435,lronwood Rd 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.561-656-8961- Zip Code: 34997 Fax: 772-219-0146
E-Mail: Phone No. 772-286-0954
Fill in fee simple Title Holder on next page(if different E-Mail: 9iffelec@comcast.net
from the Owner listed above): State or County License: EC13001574
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMP NY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phre:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY(: X Not Applicable .
Name: Name:
Address: Address:
City: City:
Zip: Phone:_ Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit iolder to build the subject structure"
which is in conflict with any applicable Home Owners Association rules,bylaws or and coven 3nts that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any estrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all spects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection, If you intend to obtain financing, consult with lender-or an attornr before
commencin work or recordinje vour Notice of Commencement.
l
Signature of Ow r/ ent/Lessee V Signatur ntractor/L cense Ho der
STATE OFF L COUNTY OF
5�,. LvG `.� COUNTYTY OFFLORIDA
ICA- Lvc',A-1-
The forgoing instrument was acknowledged before me The forgoing instrument as acknowledged before me
this'l—ck day of C3g'� 20 15 b this aa,day of '3c$ 20AS by
Yc'
(Name of pers n acknowledging) (Name of p rson acknowledging)
(Signature of Notary Public-State of Flo ' G `eo 6 20 (Signature of Notary Pi4b ic-State of Florida)
�a PIC,
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Personally Known 0�u ed ��� iRFi t '5�1�1�'Sa Personally Known OR Produced I NP� rb�tlt <�da
Type of Identification Pro d�xcgri ..gnat Type of Identification Pro uced >,: N ate 20
586,
Commission No. - °� _ c( 7 Commission No. Nota J rs # a to 1 PSSa
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Revised 07/15/2014 F;
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATI DN SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS