HomeMy WebLinkAboutBuilding Permit Application:All APPLICABLE INFO MUST BE COIVr'�;=TED'FOR APPLICATION'TO BE ACCEPTED �-
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3/2/21. ::3-0313 Date: :.: P.ermit Number:'
CC C(D
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' Building- Permit Application
Planning, and Development Services.
Building:and Code Regulation -Division ..Commercial mercial YES.. Residential
2300 Virginia Avehue; Fort Pierce FL 34982:
Phone: (772) 462.-1553 Fax: (772) 4624578 .
PERMITAPP.U.CAT ION-F0R:. UNITEDTELEPORTS
PROPOSED IMPROVEMENtlIOCATLON ;
Address:
10161 RANGE LINE ROAD,• PORT,ST LUCIE, FL 34987 _ ...
Property Tax ID#: 4201-113-0001-030-2 ..:.: :.• :Lot No.
Site P ....... ... ....
Ian Name: ... .:.:'.. Block No....:.:
ANTAENNA FOUNDATION
' : :Project Name: ' CONCRETE PADS..
DETAILED DESCRIPTION O.F WORK:"
CONSTRUCTION'OF TEN: (10) SQUARE AND TEN (10) ROUND CONCRETE FOUNDATIONS: ' i :..
New Electrical Meter Second Electrical Meter:' ' ..
"• CONSTRUCTI,.ON .I'NFORMATIaON -'
Addit ona1.work to be performed. • under this perrriit - chell'th ck:aat a
.' ..:
IVlechanical `::.. _ Gas Tank - _ Gas Piping Shutters Windows Doors'- _ Pond
Electric: _.Plumbing _Sprinklers Generator _Roof -Pitch
..Total S Ft of Construction: o 0
q. " :.Sq:.Ft. of First Floor:
Cost'of Construction:'$. O OO(J ' Utilities:_,,=_ Sewer .. "Septic Building Height: e
OWNER/LE:SSEE `., "'
CONTRACTOR:
UNITED TELEPORTS
ame. .. .. ...
� m"
ae:BRANDON NOME..
Address: 10161 RANGE LINE ROAD•
Company: REMNANT CONSTRUCTION
City: PORT ST LU.C1E State: _
Address: 201 S 2ND STREET, STE 100
Zip Code: 34987.1. .. Fax:. .: :.: ..'
City: FT PIERCE . '... State: FL'
305-671-3333
Pho•ne.No... ..- .• .
34950
ZipCode:.� Fax:
Phone No 772-577=5850
E-Mall: renatodias@unitedteleports.com , ..
E-Mail bnobile@remnantconstruction.com -
Fill in;fee:simple Title Holder on next page (if different
from the Owner listed above) .
State.or.Cbunty License CBC1261746
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 Commencementis:required.
SUPPLEMENTAL CO.NSTR.UCTIQN LIEN LAW INFORMATION;
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE` COMPANY: _ Not.Applicable
Name:
Name:
Address:
Address:
City State:
City: State:
Phone
Zip:: Phone:
FEE SIMPLE TITLE HOLDER:.:._ Not Applicable
BONDING COMPANY: ::.. 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 coirimenced.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,:) do hereby agree that I will, iri 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
WARNIN.G.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--eran attornev before commencine work or record[ng v u:r.Notice of Commencement.
Si at re of Owner/ Lessee/Contractor as:Agent for O
o Contractor%License Holder
STATE OF FLORID
OF FLORID
:�:
COUNTY OF :..:.
F :...
..
Swo.n'to (or affirmed) end subscribed before me of
9 �
FTA
(or affirmed) and subscribed: before me of
Physical Presence or Online Notarization
��sical
Presence or Online Notarization
;T=
this�day of . 202r� by
day of �dL4& 2020 by .:
- � �
Name of person making statement.:
s
?Jame of,person making statement:
Personally Known OR Produced Identification
ersonally Known OR Produced Identification
lyp,e
Lai
Type of.Identification
of. Identification'
Produced. :..
Produced
Si nature of Notary Public- State of Florida
( g..... y )
-
(Signature.of Notary Public- State of Florida )
Commission No. :(Seal)
Commission No. :- (Seal).
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