HomeMy WebLinkAboutBuilding Permit Application All 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 Commercial x Residential
2300 Virginia Avenue,Fort Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:7370 S Ocean Drive, Jensen Beach; FL (common area, rooftop)
Address: 7370 S Ocean Drive, Jensen Beach, FL 34957 (common area, rooftop)
Property Tax ID#: 3522-607-0000-000-5 Lot No.
Site Plan Name: Block No.
Project Name: DUNE WALK
DETAILED DESCRIPTION OF WORK:
wireless antenna upgrade
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
X Electric ,Plumbing Sprinklers _Generator —Roof Pitch
Total 5q. Ft of Construction: n/a Sq. Ft. of First Floor: n/a
Cost of Construction:$ 15000 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Verizon Wireless Name: Pavel Redko
Address:4700 EXCHANGE CT, BOCA RATON, FL 32667 Company:Advanced Communications Technology
City: Boca Raton State: Address: 15188 Park of Commerce Blvd. Suite 11
Zip Code: 32667 Fax: City: Jupiter State: FL
Phone No.984-292-1393 Zip Code: 33478 Fax:
E-Mail:mbaker@tepgroup.net Phone No 561-512-3761
Fill in fee simple Title Holder on next page(if different E-Mail kristee@advancedcommtech.net
from the Owner listed above) State or County License CGC1521987 EC13007510
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:
DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name:Jeremy Wooster Name:nla
Address:5906 Breckenridge Pkwy,Ste Address:
City: Tampa _ State: FL City: State:
Zip: 33610 Phone 916-385.4266 Zip: Phone:
FEE SIMPLE TITLE HOLDER: ^Not Applicable BONDING COMPANY: XNot Applicable
Name'Dune Walk by the OceanCondominium Assn ciation Inc Name:n/a
Address:1111 SE Federal HWY Address:
City:Stuart City:
Zip: 34994 Phone:916-385.4266 Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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,wails,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.
Signature of Owner/L see/Contractor as Agent for Owner Signature or/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF \? _ rC COUNTY OF f7alyv� ta
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 Notarizati
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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