HomeMy WebLinkAboutRF-1 PERMIT APPLICATION All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/29/2020 Permit Number:
4O
U #` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: SES/United Teleports Interior Improvements - RF-1
PROPOSED IMPROVEMENT LOCATION:
Address: 10161 Range Line Road, Port St. Lucie, FL 34987
Property Tax ID#: 4201-113-0001-030-2 Lot No. _
Site Plan Name: N/A Block No.
Project Name: SES/United Teleports Interior Improvements - RF-1
DETAILED DESCRIPTION OF WORK:
Alteration- Level 2: Interior improvements to existing communications room - addition of office space and storage
platform inside of existing single story satellite communications facility.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
X Mechanical _Gas Tank _Gas Piping _Shutters X Windows/Doors Pond
X Electric _ Plumbing X Sprinklers _Generator _ Roof _ Pitch
Total Sq. Ft of Construction: 1,825 _ Sq. Ft. of First Floor: 1,408
Cost of Construction: $ 98K _ Utilities: --Sewer _Septic Building Height: N/A
OWNER/LESSEE: CONTRACTOR:
Name UT Land Co. LLC/SES Americom Inc. _ Name:Brandon Nobile
Address:10161 Range Line Road Company:Remnant Construction LLC
City: Port St. Lucie _ State: Address:201 S 2nd Street, Suite 100
Zip Code: 34987 Fax: City: Fort Pierce State:FL
Phone No.571-228-7966 — Zip Code: 34950 Fax:
E-Mail:Phil.rigby@ses.com _ Phone No772-577-5850
Fill in fee simple Title Holder on next page( if different E-Mail bnobile@remnantconstruction.com from the Owner listed above) State or County License CBC1261746
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:Brent A.wood Architecture,LLC Name:
Address:20 SE Ocean Boulevard Address:
City: start State: FL City: State:
Zip: 34996 Ph o n e 772-220-1217 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 paying twice for
improvements to our property. A Notice of Commencement must be recorded in the public records of St.
Lucie C and p sted on the jobsite before the first inspection. If you intend to obtain financing, consult
w' ender or ttorne before commencing work or recording our ice of Commencement.
Signature of Owner/Less Contractor as Agent for Owner Si o Contractor/License Holder
STATE OF FLORIDfi, STATE OF FLORI A
COUNTY OF COUNTY OF,
Sworn to(or affirmed) and subscribed before me of Sworn to(or affirmed) and subscribed before me of
✓ Ph sical Presence or Online Notarization Ph sical Pre nce or Online Notarization
this� ay of 2020 by this,�Qjday of 2020 by
Name of person making statement. Name of person making statement.
Personally Known il,!!� _OR Produced Identification Personally Known r/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of Notary Public-Sta off p6�'iida �otary Public State of Flori a(Si mature of Notary Public-State
Linda S French .yav t�
Commission GG 12021 hh ^ o e� Notary Public State of FI id
n d�Q W ? E Oda S French y
Commission No. C,G a 0 ; oF,~ e Co mission No 1 Vl 9 (detl Commission GG 1202 0 i
Aires 07/04/2021
'�ornf� Expires 0 7/0412 0 2 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.