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Building Permit Application
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: O ° a Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial X Residential 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 4624553 Fax: (772) 4624578 PERMITAPPLICATION FOR:Commercial generator replacement PROPOSED IMPROVEMENT LOCATION, Address; 1401 Swain Road, Fort Pierce, FL 34947 Property Tax ID fl: 2418-242-0001-000-0 Site Plan Name: SBA SWAIN ROAD - A2P0044C Project Name: T-Mobile Generator Replacement - A2P0044C DETAILED DESCRIPTION OF WORK: Block No. Existing T-Mobile diesel generator and tank to be removed and replaced with proposed RD025 diesel generator with 240 gallon tank on an existing 4'x8' concrete pad with proposed 1' extension, new pad dimensions to be 5'x8' 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: 40 Cost of Construction: $ Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name SBA Properties, LLC Name: Kent C Mace Address:8051 Congress Avenue Company:Hayden Professional Services Inc City: Boca Raton State: _ Zip Code: 33487 Fax: Phone No.561-981-9904 Address:7873 SW Ellipse Way City: Stuart State: FL Zip Code: 34997 Fax: Phone 1\10772-781-1502 E-Mail:BLichen@sbasite.com Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail LMacpherson@haydenpro.com State or County License CGC1 512288 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 MORTGAGE COMPANY: x Not Applicable Name* Chelsea t,1 hiarajh Name, Address: 1920 WOW Way Address: City, West Palm©each State: FL City: State: Zip: 33411 Phone561.845-0665 Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: X Not Applicable _ Name:Juantdas&Carol/Vas Name: Ad d re s s 0 258 SW Reynolds Ave Address: City: Port St Lucle City: Zips 349B3 Phone '772'878.6521 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 t4elobsite before the first inspection. If you intend to obtain financing, consult with lenderor attornWtqoye commencing work or recording our Notice of Commencement. Signature of Owner/ Lessee/Contr tpr as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIPA STATE OF FLORIDA COUNTY OF A fn &ACV) COUNTY OF Ma.IIIA) Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of V Physical PresenCe or Online Notarization X Physical Pres nce or. Online Notarization this � day of Af r; 1 2020 by this � day of by Do d D%1 ^ na v N tJ C U Kent C Ataco Name of person making statement. Y o Name of person making statement. / Personally Known J OR Produced Id L ��- (L VO toc�tao� b Personally Known _ OR Produced Identificatio Type of Identification �� o V" Type of Identification Q �f4*0>� Produced �' Z Produced ?��Ii H a .E E aft X a"' E Q U L, L Z n p (Sig re of Notary Public- State of Florid Z. 441 o (Signature of Notary Public- State of Florida) 3 3 t NHi�y�7N a z= Commission No. S ({o; l`� Commission No. G C� 2�l569 Seal 7 (Seal) o d �epjv Sir, •o o z REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MA COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev, 5/6/20