The URL can be used to link to this page

Home My WebLink AboutPermit App & Authorization Letter All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 91To O P Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 12200 W. Angle Rd, Fort Pierce, FL 34945 Property Tax ID#: 133221100020005 Lot No. Site Plan Name: Angle Road Block No. Project Name: Verizon Amendment DETAILED DESCRIPTION OF WORK: The proposed project includes modifying ground based and tower mounted equipment. Install (1) EW52 Hybrid Cable, existing (1) Dish(s) and (1) EW52 Hybrid cable to remain New Electrical Meter Second Electrical Meter 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: $ 15,000 Utilities: —Sewer _Septic Building Height: Tower OWNER/LESSEE: CONTRACTOR:J Crompton Electric Name American Towers LLC Name:Jonathan Crompton Address: 10 Presidential Way Company:J Crompton Electric City: Woburn State: MA Address: 1290 Old Congress Ave Zip Code: 01801 Fax: City: West Palm Beach State: FL Phone No. 781-926-4500 Zip Code: 33409 Fax: E-Mail: Phone No 561-588-6559 Fill in fee simple Title Holder on next page(if different E-Mail permitting@jcromptonelectric.com from the Owner listed above) State or County License 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: Not Applicable BONDING COMPANY: X Not Applicable N am e:Indrio Holdings LLC Name: Address: 1626 90th Ave Address: City:Vero Beach City: Zip: 32966 Phone: NSA 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 our Notice of Commencement. **See Letter of Authorization Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF Sworn to(or affirmed) and subscribed before me of Sworn to(or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or Online Notarization this day of 12020 by this day of 12020 by 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 Produced Produced (Signature of Notary Public-State of Florida ) (Signature of Notary Public-State of Florida ) Commission No. (Seal) Commission No. (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5 6 20 'Ai AMERICAN TOWER® C O R P O R A T I O N LETTER OF AUTHORIZATION SITE NO: 5110 SITE NAME: Angle Road PROJECT:13255573 ADDRESS:12200 W.Angle Road,Fort Pierce,FL 34945 APN:1332-211-0002-000-5 1,Margaret Robinson,Senior Counsel,US Tower Division on behalf of American Tower*,owner of the tower facility located at the address identified above (the "Tower Facility'), do hereby authorize J Crompton Electric, its successors and assigns,to act as American Tower's non-exclusive agent for the purpose of filing and securing any zoning, land-use,building permit and/or electrical permit application(s) and approvals of the applicable jurisdiction for and to conduct the construction of the installation of antennas and related telecommunications equipment on the 'Power Facility located at the above address. This installation shall not affect adjoining lands and will occur only within the area leased by American Tower. American Tower understands that the application may be denied, modified, or approved with conditions. The above authorization is limited to the acceptance by American Tower of conditions related to American Tower's installation. Any such conditions of approval or modifications will not be effective unless approved in writing by American Tower. The above authorization does not permit J Crompton Electric to modify or alter any existing permit(s) and/or zoning or land-use conditions or impose any additional conditions unrelated to American Tower's installation of telecommunications equipment without the prior written approval of American Tower. ,t Signature. Margaret Robinson,Senior Counsel US Tower Division NOTARY BLOCK COMMONWEALTH OF MASSACHUSETTS County of Middlesex This instrument was acknowledged before me by Margaret Robinson, Senior Counsel of American Tower (Tower Facility owner and/or operator), personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same. WITNESS my hand and official seal,this 2nd day of November,2020. NOTARY SLyAL GERARD T HEFFRON Notary Public Cvmmonweaith of Mcissachuseffs Notary Public MY Comrnissior}Expires UT August 9,2024 My Commission Expires: August 9th,2024 American Tower as used herein is defined as American Tower Corporation and any of its affiliates or subsidiaries. 10 Presidential Way + Woburn,MA 01801 • 781.926.4500 Office • 781.926,4555 Fax + www.americantower.com AMERICAN TCNWEW C O H P O R A 7 1 0 It LETTER OF AUTHORIZATION ATC SITE 4/NAME/PROJECT: 51101Angle Road/ 13255573 SITE ADDRESS: 12200 W. Angle,Fort Pierce,FL 34945. APN: 1332-211-0002-000-5 LICENSEE: Veriizon Wireless 1, Margaret Robinson, Senior Counsel for American Tower*, owner of the tower facility located at the address identified above (the "Tower Facility"), do hereby authorize Verizon Wireless, its successors and assigns, and/or its agent, (collectively, the "Licensee") to act as American Tower's non-exclusive agent for the sole purpose of fling and consummating any land-use or building permit application(s) as may be required by the applicable permitting authorities for Licensee's telecommunications' installation. We understand that this application may be denied, modified, or approved with conditions. The above authorization is limited to the acceptance by Licensee only of conditions related to Licensee's installation and any such conditions of approval or modifications will be Licensee's sole responsibility. Signature: /At Print Name: Margaret Robinson Senior Counsel American Tower* NOTARY BLOCK Commonwealth of MASSACHUSETTS County of Middlesex This instrument was acknowledged before me by Margaret Robinson, Senior Counsel for American Tower*, personally known to me (or proved to me on the basis of satisfactory evidence)to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same_ WITNESS my hand and official seal,this 2nd day of November,2020. NOTARY EAL GERARD T.t1EFFRON Notary Public o Commonwealth of Massachusetts Notary Public Nly C UQUo1i 9,2 Expires M Commission Expires.August 9,2024 August 9,2024 y p g *American Tower includes all affiliates and subsidiaries of American Tower Corporation.