HomeMy WebLinkAboutBuilding permit applicationAil APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 04.22,2021
Permit Number:
BUilding Permit Application
Planning and Development .Services
Building and Code Regulation Division
a300 Virginia Avenue, Fort Pierce FL 341982
Phone: (772) 4624553 Fax: (772) 4624S78
PERMIT APPLICATION FQR0
Commercial � Residential
PROPOSEa 1MPRQ1dEMENT LQCATlt�N:
Address: 12200 Angle RD
Property Tax ID #: 1332-211-0002-00015 Lot No.
Site Plan Name: Block No.
Project Name: A2P004BAVV
ivtoatry ®xtsttng tstecommunications
New Electrical Meter
uiprnent (A2P00413A)
Second Electrical Meter
CQNSTRUCTIQN INFQRMATlQN:
Additional work to be performed under this permit --check all that apply:
_„Mechanical 'Gas Tank as Piping _Shutters Windows/Doors Pond
_ Electric Plumbing __. Sprinklers _ Generator Roof Pitch
Total Sq, Ft of Construction:
Cost o€Construction: $ 12,000.00
OWNER/LESSEE,
Nameindrio Holdings LLC
Address:1626 90th Ave
city: vero each state:
Zip Code% 32966 Fax.
Phone No.954-444-2822
E-Mail: bart.simon@towerquest,com
Sq, Ft, of First Floor:
Utilities, _Sewer Septic Building Height:
Fill In fee simple Title Holder on next page (if different
from the Owner listed above}
CONTRACTOR.
Name:Steve Nichols
Corr►pany:Ericsson, Inc
Address:6300 Legacy Drive
City: Plano State:TX
Zip Code: 75024 Fax:
Phone No 352-446-1241
E-Mailsteve,nicholstc�x ericsson,com
State or County 1icenseCGC1518237
it vatur yr cvnsuuc[wn is z,uu or more, d KrcuKraEo Notice of commencement is required.
If value of HAVC is 0,500 or more, a RE[ORDED Notice o0 commencement is required.
SUPPLEMENTAL CQNSTRUL I IQN LIEN LAW lWUKMA 11UN:
NEEIt: Not Applicable
hEE SIMPLE TITLE FIOLDER: � Not Applicable
Name:
Address;
Zip; Phone;
MORTGAGE COMPANY: x Not Applicable
Name;
Address;
City; State;
Zip• Phone.•
60NDING COMPANY: x Not Applicable
Name;
Address;
City;
Phone.•
OWNER/ CONTRACTQR A��IDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated,
I certify that no worn or installation has commenced prior to the issuance of a permit.
St. Lucie Count 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, l do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Butlding 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 nonresidential use
WARNING �'t� OWNER: Your failure to Record a Notice of Commencement may result in paying twig fbr
ins oVements to yaur property. A Notice of Commencement must be recorded in the public records of St.
i~uci County and posted on the jubsite before the first inspctin. if you intend to obtain financing consult
with nder.or an attorney before commenciniz work or rec di R your Notice of Commencement.
as Agent for Owner
STATE QE ILL
eauNTY of
Sworn to (or affirmed�`�nd subscribed before me of
fah Physical Pres ce�r Online iVotariFation
this a �- day of , 2020 by
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Sign
Sworn to for affirmed) and subscribed before me of
� Physical Presence or Online Notarisation
this day of 4" . 2020 by
.�i13Y@i1 I�ilt�iQts
Name of person making statement.
Personally renown OR Produced Identification xx
Type of Identification
Produced n.DL r by means of
� physie.el presence o
online notanzation
{Signature
Commissiron No.
COUNTER I RE�VIEVIf (S REVtE1Ar®R � RE EW � �RE�d EW®N E S E E16y TURTLEI REV EWMANGROVE