HomeMy WebLinkAboutFT Pierce Monopole Commercial Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit Number:
Building Permit Application
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: Enterprise Road
Prnnerty Tax ID #. 2428-133-0001-000-6
Commercial X Residential
Site Plan Name. Ft Pierce 150' PIFL067 Monopole Telecommunications Facility
Project Name: Ft Pierce 150' PIFLO67 Monopole Telecommunications Facility
DETAILED DESCRIPTION OF WORK:
Installing new 150' Telecommunications Tower and compound area
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit —check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: 2500
Cost of Construction: $ 7 0o a
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name PI Tower Development LLC
Name: Roman Whitney
Address: 2320 Cascade Pointe Blvd, Suite 300
Company: The Gilly Development Corporation
City: Charlotte State: NC
Zip Code: 28208 Fax:
Phone No.
Address: 115 LAKE ARIETTA COURT
City: AUBURNDALE State: FL
Zip Code: 33823 Fax:
Phone No(863) 581-3406
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail romanwhitneyi @gmail.com
State or County License CGC1516107
If value of construction is 52500 or more, a RECORDED Notice of Commencement is requires.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: B+TGroup /John Kelly
Address: 1717 $ Boulder Avenue
City: Tulsa State: OK
Zip: i4119 Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: Silver -Line Plastics Corp
Address: 900 Riverside Drive
City: Asheville, INC
Zip: 28804 Phone: 828.25287550250
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:,
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
X Not Applicable
State:
X Not Applicable
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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
w11Tu vnl iQ 1 FNDER OR AN errnRNFY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Own e Less a/Contractor as Agent for Owner
Signature of Contractor/Li cen Hol r
STATE OF KeRI$A
STATE OF FLORIDA
COUNTY OF i
COUNTY OF.o
The forgoing instrument wa acknowledged before me
this g.,2 day of A P __, 20 by
The forgoing instrument was acknowledged before me
this�i�lday of (� C L 20 by
Name of person making statement.
Name of person making statement.
OR Pr' ducedjc8�jNa,2
nown OR Produced Identification
Type of Identification Notary Public
tification
�P'+ytr LiCay6f.
Produced Mecklenburg Co., NorthCar
OUly CO: Mission Expir®s Oct. 0
- 'Z3 `1 D6�7v
(Signature of No ry Pu c State of Florida Terry L. Johnson
Notary Public, State of Florida
(Signatu e bf Notary Public- State of a )Np2
Commission No.2J/1319°OD (Seal)
Commission No.IZ-RL't99`71 MyCor(hg i piresAugust28,20
Commission No. GG248279
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
_
DATE
COMPLETED
Rev. 2/7/19