HomeMy WebLinkAboutBuilding Permit ApplicationA2P0105A 5800245 TMO L600
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _�\ X'6 � Z b Permit Number: ad d l'd a
RECEIVED
Building Permit Applicatio i FEB 10 2020
Planning and Development Services ST. Lucie County, Permitting
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: Alteration - 0V, ',} i III
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
Site Plan Name:
Project Name: T-Mobile L600
Lot No.
Block No.
Setbacks Front Back Right Side Left Side II
<,r
;DETAILED DESCRIFTION
A' Y.« 1... -ss rtl .i.,.✓h,. a_ :... 9't it al r., ty �. "d, .
REPLACE ANTENNAS AND EQUIPMENT ON EXISTING TOWER
Haarrionaiworrctooe errormea unuer ims permit—criecx du
DHVAC Gas Tank ❑Gas Piping
dppry:
❑Windows/Doors
_Shutters
EJElectric
0 Plumbing Sprinklers
0 Generator
Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
1:1Septic
Cost of Construction:
$ i74.ga0 0 Utilities:
Sewer
Building Height:
OWNER/LESSEE Y Y gym`" y X ,µ
CONTRACTOR zjf
Name T-MOBILE/Crown Castle
Name: Dan Ault
Address:6420 Congress Ave
Company: Olin Wayne Companies, Inc
City: Boca Raton State: FL
Zip Code: 33487 Fax:
Phone No. 561-544-4965
Address: 3060 Orange Grove Trail
City: Naples State: FL
Zip Code: 34120 Fax:
Phone No. 561-544-4965
E-Mail: SFLPermits@crowncastle.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: SF stle.com
State or County Licens : CGC1522173
1 Y1 C
If value of construction is $2500 or more, a RECORDED Notice of Commencement Is required.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: CHARLES H FOX DAVID A HOINES Name:
Address: 3081 E COMMERICAL BLVD. #200 Address:
City: FORT LAUDERDALE City:
Zip:33027 Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co Count makes
with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building,permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencemenli'1 f i i
�a ure of OvJR re I'L�Y2$}Abent zignacure 7omraaopucense numei
STATE OF FLORID`y'/ STATE OF FLORID M C�
COUNTY OF �U`
im 6m� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument -was acknowledged b\�{{1fllfllll/ll�
this (k day of 20q::Qby this day of b 20 .I Mcy M.
sslov
yy \ k�a"IElAUil l AY3r,2p�fo�
(Name of person acknowledging) (Name of person acknowledging )
L iO:o 1017224860
Personally Known a
Type of Identification
Commission No.
Revised 07/15/2014
of Florida )
OR Produced Identification
MY GQt�yy$SION # GG 926633
EXXhhIRE__$$:October 27, 2023
(Signature of Notary Pubic- State of
Known _Z OR Produced
Type of Identification Produced_
Commission No.
(Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS