HomeMy WebLinkAboutELECTRIC - COMMERCIAL ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED d
Date: 5 Permit Number: 151 3� D
RECEIVED OCT 22 2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce F134982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1501 NW Buttonbush Cir#CAN % /(�(C /�� , .55
Legal Description: HARBOUR RIDGE-PLAT 13- BUTTONBUSH VILLAGE UNIT 3 (OR 1284-2560:2430-2393;3726-571)
Property Tax ID#: 4426-815-0010-000-5 Lot No.
Site Plan Name: Block No.
Project Name: Comcast Power Supply- Node s60171
Setbacks Front Back: Right Side: Left Side: _
DETAILED DESCRIPTION OF WORK:
Service change to replace damaged Comcast power supply cabinet located 42 ft west of NW
Harbour Ridge Blvd, 12 ft north of NW Buttonbush Cir in hedges
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 722 Utilities:oSewer OSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Comcast Name: Gary J Gifford
Address:10435 Ironwood Rd Company: Gary J Gifford, Inc.
City: Palm Beach Gardens State:FIL Address: 350 SW Linden St
Zip Code: 33410 Fax: City: Stuart State:FL
Phone No. 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: 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 COMP NY: X Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phc ne:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone:_ Zip: Pho e:
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 older to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and coven nts 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 Amerdments.
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 r suit 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 lend ar or an attorney before
commencing work or recording our Notice of Commencement.
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Si nature of 0 Agent/Lessee Signature of ntractor/Li ense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF 5 t COUNTY OF
The forgoing instru menwas acknowledged before me The forgoing instrument w s acknowledged before me
thi;LZ—day of � 2011S b thisa'�day of C1 c 20� by
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(Name of persoh acknowledging) (Name of p rson acknowle iging
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(Signature of Notary Publ -State of Florida) ��.a` (Signature of Notary Publ -State of Florida)
Personally Known OR Pro Id ��� ��tFt145��d _ Personally Known ' Qf2:Producedilc e""�ir�3ion.
Type of Identification Pro1i, Sia Y6. \j Type of Identificatio Obd
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Revised 07/15/ 14" "�`'�
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIO 4 SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS