HomeMy WebLinkAboutA2P0045B St Lucie County case number 104610 permit number 1409-0281 2.11.21All 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 FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: new permit to replace 1409-0281
PROPOSED IMPROVEMENT LOCATION:
Address: 6189 N US 1
Property Tax ID #: 1406-413-0003-000/8
Site Plan Name: Microwave Service Company
Project Name: A2P0045B / Spain Tower
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
New permit for purpose of final inspection per Florida Statute 553.73 (16) Old permit number 1409-0281
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
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ —
_ Generator
Sq. Ft. of First Floor:
Windows/Doors — Pond
Roof Pitch
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name T-Mobile
Name: Daniel Ault
Address:1300 Concord Terrace, Suite 200
Company: Olin Wayne Companies
City: Sunrise, FL State: _
Zip Code: 33323 Fax:
Phone No.954-514-8022
Address:3060 Orange Grove Trail
City: Naples State: FL
Zip Code: 34120 Fax:
Phone N0239-776-5884
E-Mail: michael.nisenbaum@T-Mobile.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail danault@olinwaynecompanies.com
State or County License CGC1522173
If value of construction is 2500 or more, a KLLUKULU Notice oT l ommencement is requireu.
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 MORTGAGE COMPANY: Not Applicable
Name: I Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: Frank K.5pain
Name:
Address: PO Box 1148
Address:
City: Hobe &mnd, FL
I
City:
Zip: Phone:
Zip: 33475 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 o Notice. of Commencement.
Signa re of Owner) see Contractor as Agent for Owner Signa ur of ntractor/License Holder
STATE OF FLORID!' STATE OF FLORIDA r
COUNTY OF t C COUNTY OF
Sworn to (or affirmed) and subs before me of Sworn to (or affirmed) and subs ed before me of
—bed
Physical Presence or nline Notarization Physical Presence or Online Notarization
this day of /-c 2021 by this _47 day of i� 2024 by
Mirhael Nisenbaorr Daniel Ault
Name of person making statement. Name of person making statement.
Personally Known CAR Produced Identification Personally Known OR Produced Identification
Type of Identific4f-10"h Type of Identif do
Produced Produced.
(Sign ture o� ry ub c- ate g 1oria {Signatur
4. Notary udllc .,fate of cri a y _
e 1
yy c� PP Notary Public State of Florida
Linda Paiozzoia 1 t cr Linda Paioc�oi�
Commission N:.- �n commission o� .�Si) Commis ra .Seat
r, `or av'�� Expires 04107/2022 CG f J74k�
d Grs i` �11',�22
REVIEWS FRONT ZONING
SUPERVISOR
PLANS VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW REVIEW
REVIEW
REVIEW
DATE
i RECEIVED
DATE _
COMPLETED j
ev.