HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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:
Address: 1 ubuu zi ucean UK Jensen Beach, FL 34957
Property Tax ID #: 4511-517-0000-000-8
Site Plan Name: Oceana South Condominium
Project Name: Oceana South Condominium
1, DETAILED DESCRIPTION OF WORK:
Lot No. 4
Block No.
ground work for existing wireless antenna site — removing cabinet and adding neutral -colored cabinet
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
Total Sq. Ft of Construction: _
Cost of Construction: $ 1,000
Generator
Sq. Ft. of First Floor:
— Roof Pitch
Utilities: —Sewer ® Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Verizon Wireless
Name: Pavel Redko
Address: 4700 EXCHANGE CT
Company- Advanced Communications Technology
City: Boca Raton State:
Address: 15188 Park of Commerce Blvd, Suite 11
Zip Code: 32667 Fax:
city: Jupiter State: FL
Phone No. 984-292-1393
Zip Code: 33478 Fax:
E-Mail: mbaker@tepgroup.net
Phone No 561-512-3761
Fill in fee simple Title Holder on next page if different
E-Mail kristee 9 advancedcommtech. net
from the Owner listed above)
State or County License CGC1 521987
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGN
Name:
AddressRd
City: State:
Zip: 27603 Phone 916-385-4266
NO
FEE SIMPLE TITLE HOLDER: ___ Not Applicable
Name: The oceans South Condominium oAssociation Inc
Addne5S^10600uO..aron
City FIL
Zip: 3495PMnne'uw-2ne1em
MORTGAGE COMPANY: xNotAophcable
Nome'
[bv:
Zip: Phone:
BONDING COMPANY
Name:
Zip: Phone:
x Not Applicable
CONTRACTOR AFFXDVFF�Application iahereby made toobtain apernittndntheworkandinsta|ationaximdiceted
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.
|nconsideration ofthe granting ofthis d permit, I do hereby agree that |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 TOOWNER: Your failure toRecord aNotice mfCommencement 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 onthe 'obsitebefore the first inspection. |fyou ifinancing, consult
with lender oranattorney before commencing work orrecording your rnencernent.
Sigi�—at�rre'6f`bwr-Wr/ Le��ff/Contractor as Agent for Owner
Signature_�2p
,Y��—r/License Holder
STATE OF FLORIDA
STATE OF FLOIR —
COUNTY OF
COUNTYOF L
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Pr Online Notarization
of =or
Name of person making statement.
Name of person making statement,
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of identification
Type of I e cation
Produced
Produced
-Fe!
nature of Nota�ublic F16ftION BAKIKER
hotary Public- State of Florida)
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