HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
�OLI 6 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:CeII Tower Reinforcement
PROPOSED IMPROVEMENT LOCATION:
Address: 1100 Dyer Road
Property Tax ID#: 3414-501-0713-250-6 Lot No.
Site Plan Name: Block No.
Project Name: 870159 Port St. Lucie
DETAILED DESCRIPTION OF WORK:
Addition of new clamped on solid rods at elevation 240.0'-260.0'and remove all equipment at 276.0'.
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: Sq. Ft. of First Floor:
Cost of Construction: $ 26,617.32 Utilities: _Sewer _Septic Building Height: 480'
OWNER/LESSEE: CONTRACTOR:
Name Global Signal Services, LLC Name:James E. Goff
Address:4017 Washington Road Company:Goff Comunications, Inc.
City: McMurray State:7V, Address:6448 Parkland Drive
Zip Code: 15317 Fax: City: Sarasota State:FL
Phone No. Zip Code: 34243 Fax:
E-Mail: Phone No941-706-5182
Fill in fee simple Title Holder on next page(if different E-Mail Kathy.Rey@usa-groups.com
from the Owner listed above) State or County License CGC058267
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
N a me:Maham Barimani Name:
Add re s s:2000 Corporate Drive Address:
City: Canonsburg State: PA City: State:
Zip: 15317 P h o n e 724-416-9627 Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: X Not Applicable
Name: 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 lender or an attorney before commencin rk or recordingypur Notig6 of Commence t.
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x Physical Presence or Online Notarization X Physical Presence or Online Notarization
this 18 day of may P$�9 by this 18 day of May 2$26'by
Name of person making statement. Name of person making statement.
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Type of Identification Type of Identification KATNYY.REY
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Commission No. GG120393 (Seal) Commission No. GG120393 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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