HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/16/2020
Permit Number:
S'n LL! LLC
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 Tier II Antenna Installation
PROPOSED IMPROVEMENT LOCATION: SES/United Teleports
Address: 10161 Range Line Road, Port St. Lucie, FL 34987
Property Tax ID #: 4201-1113-0001-030-2
Site Plan Name: Proposed Site Plan
Project Name: SES/United Teleports Tier II Antenna Installation
DETAILED DESCRIPTION OF WORK:
Installation of load frames and antennas.
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
Total Sq. Ft of Construction: N/A
Cost of Construction: $ 5K
_ Generator _ Roof Pitch
Sq. Ft. of First Floor: N/A
Utilities: _ Sewer _ Septic Building Height: 35'-4"
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: _
Zip Code: 34987 Fax:
Phone No. 954-290-7137
Address:201 S 2nd Street, Suite 100
City: Fort Pierce State: FL
Zip Code: 34950 Fax:
Phone No 772-577-5850
E-Mail:christopher.ny@ses.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail bnobile@remnantconstruction.com
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
Name : Brent A Wood Architecture, LLC
Address: 20 SE Ocean Boulevard
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: Stan State: FL
Zip: 34996 Phone772-220-1217
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY: x Not Applicable
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 lenddza an attorney before commencing work or record' ur ice of Commencement.
Rev. 5/6/20
ure of Owner/ Lessee eGntractor as Agent for Owneo
Si ontractor/License Holder
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STATE OF FLORIDA
STATE OF FLORI A
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SwoT to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Prese ce or Online Notarization
✓Ph sical Prese ce or Online Notarization
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Name of person making statement.
Name of person making statement.
Personally Known ,,- OR Produced Identification
Personally Known t-' OR Produced Identification
Type of Identification
Type of Identification
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/6/20