HomeMy WebLinkAboutAdditional Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial xX Residential
PERMIT APPLICATION FOR: Antennas and RRUS on existing tower
PROPOSED IMPROVEMENT LOCATION:
Address: 16800 Okeechobee Road
Property Tax ID #: 32-01-244-0039-0008
Site Plan Name:
Project Name: T-Mobile site #A2P0090
DETAILED DESCRIPTION OF WORK:
remove and replace existing rrus, modify existing antenna mount, add/relocate antenna
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
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: 0
Sq. Ft. of First Floor:
Cost of Construction: $ 12000 Utilities: — Sewer _ Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Evans Properties, Inc.
Name. Daniel Ault
Address:660 Beachland Boulevard, Suite 310
Company: Olin Wayne Companies
p Y�
City: Vero Beach State:
Address:3060 Orange Grove Drive
Zip Code: 32963 Fax:
City: Naples State: FL
Phone No.772-234-3410
Zip Code: 34120 Fax:
E-Mail:
Phone N0864-915-1122
Fill in fee simple Title Holder on next page ( if different
E-Mailtstewart@telecomsite.com
from the Owner listed above)
State or County License CGC1522173
If value of constructinn is 71;nn nr .,,.,ro n nrrnor%cn m_.:__
-I - ---- ..... imp reduwrea.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.QNMUCTION
LIEN
. W.IiVF�l4M 1TfCiN; .
f3lwS1,N>r. ENCa14ER: Al
Nagle. — otAppl€cable
j Address: --.__ .�
Cfty:
ZIP: —State:
FEE SIMPLE TITL N0ti?ER;
Name: EVANS PROPERTIES, INC. — Not R;Qp€ICable
Address:
City:
ZIP; Pt�r�ne:
MORT14AGECC MPANy; name: N+atAppll>"ebie
Address:
City;
ZIP----_ Phone;
BONDING CoMpANY: Name: _Not Applicable
Address:
City:
Phone:
1 certify that no work or Instauation has r*m menced prior to the issuance of a pbrmit.
St. Luc; Coup make nos representation that Is granting a arrnit III authorize the ern�tt holder to bu#id the subject sir cture
Wmeture. P;agsecca s l! witn'yQur Hlom rei ers,$gss ci$ tfo�an aid revle+n your dead fnr an
Y a�r�s or an avenarts that Wray r trier or rohl�tlk such
in
conslcieratian of the granting of this regt�estod permit, 100 hereby agras that # will, In all respects, perform t ,e work
y rastrictions whte may et ply.
in accordance with the approved plans, the Florlda Building Codes and Se, O that
cle Countyill,In tl respects, ts,
T,Sa fallowing building permit applications ara exempt from
undergoing a full t onrurrgncy raview: room additions
e=ARNIy structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-rasidentlol use
VIlARi11i1VG T4 ililhlER: Your failure to Record a Notice of Corrimencement may result in your paying twice for
Improvements to your roperty. A notice of COMMencement mast he recorded and pasted an the Jobsite
before the first irispectOn. if You Intend to obtain financing, consult with lender or
comrnencin warko wordIn our Notice.cif.Commenepmonr an attcsrriey before
STATE OF FLORIDA
COUNTYQFSTATE OF FL
i
The forgoing # acknowledged Isefore nneThe f rgoing instrume it was acknowledged before me
t#�)s A�day of r 4 QC 20 0
by this dsy of
#ry
Stf.
{5f8nature of Notary 711t` State of
Fersonally Known V CAR Produced identification
TYPe of tdentiflcatFon Pr-duced
Commissiari No.
\� , kUX LEE VAN VLAENGErtEµ t
PersrsnaIIY Known k_ OR Produces! Ideritiflcat#on
Type of Identiffcatlon produced —�
cummissian P GG 245373
R2V2Srl 07/1512014
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Bond@d thragh Natl(iRat Notary A55n,
REVIEW FRONT ZONING SUPERVISOR PLANS
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INITIALS
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VEGETATION I SEA TURTLE MANGROVE
REVIOA1 REVIEW REVIEW