HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA81LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: November 17,2015 Permit Number:
RECEIVED
•
Building Permit Application DEC 2 2 2015
Planning and Development Services
PERMITTING
Building and Code Regulation Division St. Lucie County, FL
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: 202 Bay St#CATV
Legal Description: ROW
Property Tax ID#: 3419-510-0318-9999 Lot No.
Site Plan Name: Block No.
Project Name: Comcast Power Supply Node s20891
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace damaged CATV cabinet, remove existing when new is energized
CONSTRUCTION INFORMATION:
Additional work oe orme under is perms —check a appy:
HVAC 11 Gas Tank E]Gas Piping _Shutters Windows/Doors
Z✓ Electric El Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction: $ 722 Utilities:11Sewer Septic 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:FL Address: 350 SW Linden St
Zip Code: 33410 Fax: City: Stuart State:FL
Phone No.772-804-0963 Anthony Springsteel,Constr Supv 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.
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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:
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 apermit 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 Yrst inspection. If you intend to obtain financing,consult with lender or an attorney before
commenciog work or recpircliaR yokir Noti a of Commencement.
Si atur f w er ss Signature of Con tr ' ense older
STATE OF Fl. ID 1 STATE OF FLORIDA ,
COUNTY OF ; ,L�_ COUNTYOF
The forgoing instLument was acknowledged Wore me The forgoing instrument was acknowledged before me
this: day of 20_1bb this ' day of 11A�� 20-1 by
C__4XP,1rM C_Ivolocqo fel
(Name of pers n a nowledging) (Name of perso cknowledging
r �•�--�
(Signature of"Notary Public-ttate of Florida) (Signature of Notary ublic-State of Florida) /
Personally Known OR Produced Identification Personally Known OR Produ d Identification ✓
Type of Identification Produced F-L Type of Identification Produced, M nib,
Commission No. n No. +' I (✓ (Seal)
KAREN S. NI LSEN
°`�+'•4�`�'=
Commission#F 115637 .`'aro�ab� KqMMAANGROVE
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My Commission Expires ;� Co637
Revised 07/15/2014 %;'�"°:rr June 12, 2018 ;; Mres `
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
From: Janet Mott merktj@stlucieco.org
Subject: RE:Damaged comical cabinet•202 Say St
Date: November 18,2015 at 3:33 PM
TO: Offord Electric giffelec@comcast.net
Use PCN 3419-510-0318-9999 and 202 Bay Street#PC. Any questions,give me a call.
From:Gifford Electric [mailto:giffelec@comcast.net]
Sent: Wednesday, November 18, 2015 1:45 PM
To:Janet Merkt<merktj@stlucleco.org>
Subject: Damaged Comcast Cabinet-202 Bay St
Importance: High
Hi Janet
Someone hit a Comcast cabinet located on the south side of Bay St approx 155 ft west of Shady
Ln. Can you send me an address and PCN to use on permit application. FPL meter is addressed
to 202 Bay St#CATV
Thanks,
Maya
Gary J. Gifford, Inc. EC13001574
Electrical Contractor
350 SW Linden St
Stuart, FL 34997
772-286-0954 office
772-219-0146 fax
772-285-1228 mobile
9
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