HomeMy WebLinkAboutBuilding Permit Application AIfAPPLICABLE INFO,MUST'BE:COiUIP WR APPLICATION Tt)_BE ACCEPTED
Pe�mlt:'N'umber
Building Por_m�t:kA1plication
P/on t7ng arrd'Devel..opMent Services- .
Suildingnnd;�odeRegulatron-Orvision; CQr1rIt71ErfCl�i R251d.�t7f181 _ _
23oo V400id Avenue,;,Pbrt,Pierce Pt°34982:
Phone (772),462-1553 ePja x (77Z)'4,62=1578
PE R MI.TAPPLICATIQN FOR:
PRQPOSEt3lt�%IP.R01lEMENT
Address. 25500 MINUTE MAID,RQ
Property Tax,ID M 1112441,:Om01=000-9`
Site Pian Name:: BlockN"
t�roiect Name:,A2P0251 S -
QETAILE@ !}ESCRIPTIQt <OF 1NORK ;,
9 . ,e Mod' ,IY xistin communications e'61 ment
� tele - CA2P0251.S) Ground Work
a
New;Electrical Meter Second`ElectricaI'M.eter
COIISTRUGTiON;IiVFQFtMATION,
4'
r. ....v.,. . Y ...
Additional.worklo=bel performed; under this permit—check all'that apply:
_ Wo /DaMechanical —.,Gas Tank Shutters dwrs _PondP '
_ Electric' Plumbing _Sprinklers _Generator Roof Pitch �.
Tota)Sq,Ft of Construction.. StI: Ft:of First"Flooe,;
Cost of Construction:.$:1`2-9W00 Utilities: _Sewe.r _Septic Boding Height:;:
rINNERJLESSEE• x ,` t CQNTRA4TQR,
Nanie•Gree010r0ves and Ranch`Ltd. Name:SteVe Nichols
Address.2075.38th'Ave Company:Ericsson,,lnc`
Clty:Vero$ea h Stater_ Address POO�Legac ,Drive.
[ode._329.60' Fak:- Gty_Piano: StMeJX
s ,
,Phone-No.954-44472822 Zip Code 7504: Fax:
barl.simon tower uest.corri. 352.44q-1241' {
E Mail: @ . ... q Phone No
stevenichols ericsson com
Fill in""fee simple Title�Holder:on next page,(if diff..eren E-Ntail @ . . _. . . ...
from the Owner listed`above) State or CountyLLitenseCGC9518237 .
If value of construction;i5 250Q'or more,;a RECORDED Notice"of"
f Cemmencement'is:regWred.;
If,value of HAVGis.$7,506 or more,a,RECORDED;Notice.ofCoinmenzement is,reguired�
BSI.�PPLEM �tt 'A �QNSTRuIQNIEN IwAVU tNFIlM�4T10# :� f f
s,� M
.DESIGNERJENGINEER:. ._Not Applicable t1tIDRTGAGE,C4MPANY x_Not' plic
Name:.5A1Y1En�fleean9 " Name. - .,
Address: Address:
City: State* Cttyt State:.
Zip Phone- zlp, Phone:
X Nat Applicable BQND(N..IG IPANY` x,'Not Oplicable
FEE-:SIMPLE TITLE.HCtLDER�_ _ .
Name; _ Name:
Address - Address:
City: Clty:.
Zip: Rhone;: zlp: Phone:
OWNER/'CQNTftACTOR AFFIDV,IT,Applicat+on is'hereby made to.obta+n•a``perrn t"to:do:the;work and instaliat+on;as+ndtcatetl.
l certify that no work or+nstaliation,has:commencedprlor to the issuaace,of a°permit.
St,Lucie Count�yy makes_no representation that is granting a permit will authorize theve(ni•t-bolder to build the.subjectstructure•..,
which is in.confl+ct with an}f applicable:Home,Own6rs Assoc+ation:rules;bylaws.or..and„covenants that may restrict o`r prohlbiGsuch.
structure Please consult w+th your Home Qwners.Association and review your:deed for'any restrictions wh+ch may:apply.
In consideration;of the granting ofahis.requested.permit,i do hereby,agree that'll will,-in.alt.respects,perform'the work;
in accardan wi.h the approved pians;;the Florida:Building Go"des and St.Lucie C, ntyArnendmen ts:.
The following building perinitapplications are exempt fr.b undergoing a full cdncurrency rev+ew'room add+t+oris,
acm orystructures.swimming;pools,fences,walls;,signs,scieen.raoms.and accessory"uses to.anather,non"residentialause
WAR ING TO OWNER:Your failure to Record,a Notice=of Commencement may res6l4' paying twice for
provemerits to your property A:Notice;:of Commencecnerit ` ust,t�e. recorded iri the,public records of'St,
{u ie County and posted'on the�obste.before the first inspec :Qn:!f you"intend to_abtain:financing,consult
,wi lender�iir•an attorne before cornmenc'in -workror r " r n - our-Notice<of Coni"mencement.
Signature caner!lessee/contractor as-Agent f 1Owner Signa r of:Contractor(Ucense Holder
.,STATE OF: Rt STATE OF.FLQRIDA
'COUNTY , COUN
Sworn to(or affirmed):and subscribed before me:of Sw rn.to(or,;affirmed)'and subscribed before me.of.
_Phys+cai Pr ence o O,nline Notarization 'Physical Presence or,-. Oniirie Notatization
this, L day o 202Q by this: Z day.of T 4,VOrf S7 ,202t by_
� ��lltlil4l'H7tt/fJ��� .
y� . Sleven Nichols
Name of person making stko At ane,ofpgrso_ Making statement.
Personal( Known PrcydfRy�d ldenUfic � s Personally Known OR Produced Identifica g
y Type of identification a
Type of Identification, —°�c : � ®o�
Produced' = G 986634 Pro uced: oL a
�Q S
o/ 4c. Z c
(Signature°of UaryoPubl oP . � \�\�V (5i natureof NofarY Pu lic-State.of Florida,)0,,'C€smmissian"N1jJr( 81}.11111\> a
Gamm+ssiori No: 33`i; {Seal} < � tifi,,.
REVIEWS FRONT ZONING SUPERVISOR PLANS °VEG,ETATIQN SEATURTLE MANGRQ,E
GAUNTER REVIEW REVIEW REVIEW REVIEW' REVIEW '"REVIEW
. _.
;RATE
OttlVM
DATE
CfJiVIPLETEO -
ev.