HomeMy WebLinkAboutBuilding permit application TriTel Services - St. Lucie County All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/3/2020 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial X Residential
2300 Virginia Avenue,Fort Pierce FL 34482
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR: Existing Cell Tower
PROPOSED IMPROVEMENT LOCATION:
Address: 6690 N US Highway 1
Property Tax iD#: 1406-112-0005-000-8 Lot No.
Site Plan Name: FPR-006-FM-Studio Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace damaged horizontal member,excavate guy anchor rods to foundation block,adjust guy tensions,
install safety climb,install guy wire end servings,replace turnbuckle safety cables, install guy anchor compoun
New Electrical Meter N/A Second Electrical Meter N/A
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 40,000.00 Utilities: —Sewer _Septic Building Height: 360 Ft
OWNERf LESSEE: CONTRACTOR:
Name Vertical Bridge Name: David Bellino
Address: 750 Park of Commerce Drive,Suite 200 Company: TriTEL Services,Inc.
City. Boca Raton State: FL Address: 326 Hurricane Shoals Rd NW
Zip Code:33487 Fax: City: Lawrenceville State: GA
Phone No. 941-266-6781 Zip Code: 30046 Fax:
E-Mail: Phone No 770-213-3530
Fill in fee simple Title Holder on next page(if different E-Mail carolina@tritelservices.com
from the Owner listed above) State or County License CGC1527943(Florida)
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: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone 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 your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner Signature actor/License Holder
STATE OF FLORIDA / STATE OF FLORIDA
COUNTY OF _gym ,deQC.4 COUNTY OF I" 10fil11 - DClcl'E
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or — Online Notarization x Physical Presence or Online Notarization
this�"-day of f 2020 by this t!day of c�A<-mDe r ,2020 by
7/-ri Tuck D a""d �el 1 l nc
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification — Personally Known OR Produced Identification
Type of Identification Type of identification 96
Produced — Produced saaaAZAPATa
a`?g• �r Notary Public State of Florid
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Commission k GG 927711
(Signature of Notary Public=S Flt te SI nature of No Public te'oT
acJr,W�ihamson I g through National Notary Ass .
�f My COMMISslon GG 266524
Commission No. o{ .. E )0 17r2022 mmission No. �1"1111 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS i VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.