HomeMy WebLinkAboutBuilding Permit Application A2P0105A 5800245 TMO L600 -
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
V
Building Permit Application NIAY 1 1 2020
Planning and Development Services
Building and Code Regulation Division Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 E County _
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Phone: (772)462 1553 Fax: (772)462-1578 Commercial Re ide�4tl�l
PERMIT APPLICATION FOR: Alteration
PROPOSED IMPROUEMIt LOCATION
Address: 5041 ST. LUCIE BLVD. FT. PIERCE, FL. 34996
Legal Description: 31 34 40 W 342.25 FT OF E 684.5 FT OF S 836 FT OF NE
Property Tax ID#: 1431-211-0001-000-2 Lot No.
Site Plan Name: Block No.
Project Name: T-Mobile L600
Setbacks Front Back: Right Side: Left Side:
DETAILED
._DESC RIPTION OF WORK r
TMO will be removing (1) cabinet and installing (2) new within their existirg.lease area.
CONSTRUCTION INFORMATION:
Additionalwork to be nerformed under this permit-check all app y:
HVAC Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing ❑Sprinkl 7. Generator Roof
Total Sq. Ft of Construction: �� �� S t. of First Ffoo'r:
Cost of Construction: $ ) v Utilities: _Sewer L]Septic Building Height:
CONTRACTOR
.OWNER/LESSEE
Name T-MOBILE/Crown Castle Name: Dan Ault
Address:6420 Congress Ave Company: Olin Wayne Companies, Inc
City: Boca Raton State:FIL Address: 3060 Orange Grove Trail
Zip Code: 33487 Fax: City: Naples State:FL
Phone No.561-544-4965 Zip Code: 34120 Fax:
E-Mail:SFLPermits@crowncastle.com Phone No. 561-544-4965
Fill in fee simple Title Holder on next page( if different E-Mail: SFLPermits@crowncastle.com
from the Owner listed above) State or County License: CGC1522173
W P6 i C
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAM/ INFORMATION: -
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: CHARLES H FOX DAVID A HOINES Name:
Address: 3081 E COMMERICAL BLVD.#200 Address:
City: FORT LAUDERDALE City:
Zip: 33027 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 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 first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencem
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_Signature of Owner/Lessee/Agent ign ur of ontractor/License Holder
STATE OF FLORIDA STATE OF FWRMA
COUNTY OF 41rn R-ea( CQ,1Vl` -I COUNTY 01P
The forgoing instrument was acknowledged before me The forgoing instru ant was acknowledged before me
this 0 day of MCLS 20�by this�day of i 1 20 W by
(Name of person acknowledging) (Name of person acknowledging)
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(Signatur Notary Public-State of Florida} (Si nature of Nota ublic-State of Florida )
Personally Known V OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. I a�a7 10� ;;,a� (Seal) RACHELJ.WOLFE Co mission No.
MY COMMISSION#GG 926 3 S'A"-,V. RACHEL J.WOLFE
• ,�= ober 27.2 2 ?. �„ MY COMMISSION#GG 926533
'•.FOF f��•�• Bonded TMu Notary Public Undervn 18 ;�,� Q�?:� : r 27,2023
Revised 07/15/2014 RIC•••'• Bonded Thm Notary Public Underwriters
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS