HomeMy WebLinkAboutBuilding Permit Application RECEI`'rD OCT 2 8 2016
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t�
Date: ` 1� _ Permit Number:
RECEI'D OCT 2 8 2016
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: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3106 N Highway Al #CAN, Fort Pierce 34949
Legal Description: ROW
Property Tax I D#: 1425-606-0000-008 Lot No.
Site Plan Name: Block No.
Project Name: Comcast Power Supply
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIUIV OF WORK:
Install new Comcast power supply cabinet located on the east side of N Highway AIA, approximately
280 ft south of Lakeview Cir in front of Sands On the Ocean condo. Remove damaged power supply
cabinet when new cabinet is energized.
CONSTRUCTION INFORMATION:
Additional work toe nertormed under this permit—check all t=appy:
HVAC Gas Tank []Gas Piping _Shutters 0 Windows/Doors
ZElectric 0 Plumbing Sprinklers 1:1 Generator Roof Roof pitch
Total Sq. Ft of Construction: 8.25 ft S Ft. of First Floor:
Cost of Construction:$ 722 Utilities:QSewer Septic Building Height:
OWNER/LESSEE: :.. CONTRACTOR:;
Name.Antho6y Spririgsteel,;Qonstruction Manager Comcast Names`Gary!J.Gifford-.
Address:3960.R0A,B.Ivd',,Suite 6002- Compariy!:Gary J Gifford; Inc.- :.
City: Palm Beach-Gardbhs';.:, State:FL Address: 350 SW Linden St
Zip Code: 33410 Fax:561=454=5899 City: Stuart State:FL
Phone No.561-804-0973 Zip Code: 34997 Fax: 772-219-0146
E-Mail:anthony_springsteel@cable.comcast.com 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-
DESIGN ER/ENGINEER:
NFORMATION: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: —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 thepermit 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinghivorkorrecor(;rinRvour Notice of Commencement.
s
Signature o wner/ See/ ntractor s Agent for Owner Signature o ntr for Li nse Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF V, \–--3c\� COUNTY OF SJ-- L-U c \�
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this" `% day of �z 20 \by this day of G� 20 by
(Name of person acknowledging) (Name of per on acknowledging)
(Signature of Notary Public- tate of Florida) (Signature of Notary Pub c-State of Florida)
Personally Known_ OR Pr ducedIdenti ' Personally Known OR Produced n
Type of Identification Produced L GN 23 Type of Identification Produ b&vv GNEN
N
Commission No._�� G ��m\��eCommission No.IEN
r 1GM�'S10��6'� tvs�l'
Revised 07/15/201 ` '•
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS