HomeMy WebLinkAbout62005 Midway - Permit Apps_2020 ResubmittalALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO RE ACCEPTED
Date:
Permit Number:
uk�
Building Permit Application
Pk*r JrP9 and oeveikwment Services
Suddirig aW wale Re"Non Division
23W Virginia Avmue, Fort Aerm Ft 34MI
Phone' (772] 462-1553 Fax-- (772I 4 -3578 Commercial X Residential
I PERMIT APPLICATION FOR. Afteratlon 1
I PROPOSED IMPROVEMENT LOCATION: I
Address- 5690 West Wtway Rlxad, Fon Fierce 33431
Lepi Des riptl0r,: Book 17271 Page 2952. _ SectioryTo nshlp)F angs. 06rA1.0E
Property Tax iO8: 3406-501-0042.000-9 Lot No-_
Site Plan Name_ Verizon Wireless Sitef 6 5 Mkiway Road Block No.
Project Name:
Setbacks Front Back Fight Sidc' Left Side -
DETAILED DESCRIPTION OF WORK: i
At ex+stinq communication tower, rernovelteplaae 6 antennas and associated coaxial cable. Also to
install sub -rack into existing communication cabinet.
CONSTRUC rION INFORMATION:
A Iona work to b rformedun er t is permit —check all apply,
11HVAC LI Gas Tank as Piping _ Shutters �W1nd rS/Doors
❑Elecxric CiPlumbing [ISpranklers Generator Roof
Total Sq. Ft of Construction:
Cost of Construction:
tFt,. 4f First door;U111itleSewer 13septic
Build Ing Height -
OWNER%LUSEE:
CONTRACTOR;
Name Vefixon WiFW05S
Addrass- 7701 Telecom Parkway
City: Tampa state-Fl
z,{p a3de: 33637 fax:
Phone No.
Name: Mlchael Perrier
Company: J Cromptpn Electric
Address: 1290 N Congtess Avenue
;ty- WW Palm Mach state FL
Zip Code: 33409 fax-
Phi Dylan Washbum - (561) 588.6559
.
E-Mali:
$III in fee simple Title Holder on next page I If different
from the Owner listed above
E-M:11
State or County License- CGdMl1
tf valut of tolls'tnkcftp Is $2500 err more, a RECORDED Notke of C0nVrotre#t11*M Is tequltle.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DOIGNE ENGINEER: Not Applicable
Name:uwua.wm-.otaa.m.
MORTGRGECOMPANY:
Name: as
No Applicable
Address:rmwer.w.e
Address:
CRY: wmewe,w State: a
Ell mar PNone: eaara®
cloth
LP: fNlmm:
State:
FEESIN9EETRIENOEOER: _Not Applicable
Name IrTa,nmeualzc
RONOlwwwA ..
Name: M
_NIXAiRskable
Adeseta: satw.n lee
Mail
Only: Fw P,,i
aw
Ep: arsn RMne: nrasawn
Zlp: Nave:
l cal her no was or mender on haacmnmmcee pima she Insul W ApwMr
w;r4"ai°,MI'e"'„aninrin,m�er mnwaonn'na'i"gave;I�';�I�:•'n,NaalxB:wen'I"dd`d:9 �v"am"en`kl,'I�Iwn,um
Immune N.an lomma ern dive, r xol"n.ownenusooallan ane.eMeww•r a°Qee m,.nr molamna wnla rem welt'.
In consucare n M the Intel this rtalreeseepeemu.l shininess agreeens I NIT, In all reserved, seems M.waa
In ancorcance Nan the tendered slant the limit tell Cod eaanIII Wis,tauneYNnenEmems
The elo,hre WYding ismM real are grope rmm undeqrcpnq a dull editorial review) room addri
a[mira aV ewlmmlq pnl;lam walls, 9gm, avem,mmaandx ansNanenmdmalYw
WARNINGneso's R:Ywr NRunnRewC•NntlnmCommkmmnem rrnyrearlleyour P•HnR Mufor
begog tz[o yaurpropes". ANo[Iceol Cor menamentirmt berecorded and portedon tbelobsite
Oefan the Ors[ Inspection. If you (mend to obtain flnancnB, consult wlq @rider or an attorney before
commencards work or recording vour NMnte of Commencement. eI
&Al
/' l ).
_ Spntve of Cherprl lesettleirn
5l wm a CRnOb wA wNaha
OYEOF
STATE OF
COUNTTE
141�.
OF=2&jq
Rhea alroM, pine ma
The hall memi _nt dre es
* btlaN m
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ow e41g
ss�ure his, or tienes I
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Containers No. Real
4am snon the
Revbed %IISI}DL4
R ewe
FRONT
CONING
SnpERVISOR
PLANS
VEGETATION
SG TURTLE
MANGROVE
COUNTER
REVEW
REVIEW
REVIEW
REVIEW
REVIEW
RENEW
DATE
COMPLETE
INRIn6
PERMIT # ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
a
J - Building & Code Compliance Division
BUILDING PERMIT
SUb- i.]NMEACTURAGIiLI MENT
SL LW is Ccunty Ckinuactat Cenification N umbff-
Slatr of FIcuida C+ct'tt&atim Alumba +if nwhcabJci E, OCQ91:�
tconqr. a* No6c.IddiOdualNatrxI
��"N -
(typc urtr
have agreed to be the
Sub-wntmctur for J. Crompton Electric
iN111 asy Cunmtrtnt p
For the project located at 6189 Forth U.S. Highway 1. PID ; 140-41 -000 -000-
1PrMcd Smxi Ads c+r Nup ry To% ID rrM
I is tmdc- sioW that. if there is any change of status regarding our participation with the above n cmioned
prajcct, I will immediately advise the 0uilding and Zoning Mpartmerlt of t- Luck County by filing a
01=ge cif stab-corttrnctor nonce. (FUrm. SLCMV i -No- 004-00I
BUSINESS QUAJAHER[ ' a o t r a�tt 'i 1,.1 rteo.w the t untrnctor'x License I
N01<ARMED %[G'% %'I I RI I, %RE RE.QLIIREIt
Bast *m Noma:
Addnm-
Cityr5tetrizip,
PhoaeVRE
-
PI INT SAME 1400
CC-U^-1
4TATF' OF FI.URJDA COUNTY OFF
tllk- POKEGC1FItiGII TItL'M€ T W ,LSSIGNED L#EFCiR€ M>ETUTS DAY OF .ZO
8 ' WHO 13 PERSONALLY tIM
PRODUCED AS IDENTIFICATION. # "'
- �7v
h PR[N SAME OF INOfi ' 11LIB IC r 'J 1 T
RE �,F �ti{ TAR1' PCiBLIC _ 4* jo,
Si.CPDS:O1IfQ6f:014 .._. -=- _
P[.ANNING AND DEVEL OPMENT S E R V (C ES DEPA RIN FNT
Building and Code Regullriioni Division
J. Crompton Electric
(CompanVindlwiduAl amc1
prIkicct located Al
B ILDIING I'rRMIT
SUB- )DNIRACTOR5l'MMARY
will be using the fallcmIng sob -contractors for ihr
10600 South Ocean Drive, Jensen Beach 34957
I Mreel iddrm or Property Tax ID 03
it It understood I hat If there In anv change of status regardlnp. the pericipiilan of ■ai of the %uh-con Iructarw
Ikted below. t will innn"amdy ndwise thie Building ■nd ironing Dgmrcmant of Si. Lucie C0kin I3 ,
T rudc
Name of CompanylCaturmaor
St. mercers* counIVI
State or Florida
License Number
Eleel ricml
t'
Plumbing
l f %' A(-±
Mechanical
Rnufing
cm,
OFF] CE USE ON LV
PFRNIll' 1SSIIE DATE-
NUMBER-
I-
14 4lI .Yl i i' '-'� 014