HomeMy WebLinkAboutTower ApplicationAII APPLICABI,T INFO MUST BE COMPLETED FOR APPUCANON TO BE ACCEPIED
Building Permit Application
Plonning and Development Services
Building ond Code Regulqtion Divisioo
2300Viginio Avenue, Fott Pierce FL U982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial x Residential
CBDG Funding _
4!!1gs5; 2651M|NUTE MAID Road Ft. Pierce, FI34945
Property f31 lP f; 1231-111{003{OG5
Site plan Name: T-Mobile A2P0O49A - Tower Work
Project Name:
DETAILED DESCRIPTION OF WORK:
Replacing all existing equipment with (3) antennas, (5) radios.
New Electrical Meter N/A Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit - check all that apply:
_Mechanical _ Gas Tank _ 6as Piplng _ Shutters
_ Electric _ Plumbing _Sprinklers _ Generator
_ windows/Doors
Roof
Pond
Pitch
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Cost of Construction: S 20,000 Utilities _Sewer _Septic Buildint Height:
-
lf valuc of constructlon is 25{X) o. morg, a RECORDED Notlca olCommcncement ls rrquired.
f value of IIAVC ls $7,500 or more, a RECORDED Notice of Commenccment ls required.
PERMITAPPLICATION FOR: Cell Tower - Tower Work
PROPOSED IMPROVEMENT LOCATION :
OWNER/LESSEE:CONTRACTOR;
frl3rns T-Mobile
Address: 1300 Concord Terrace, Suite 200
City : Sunrise state: FL
Mai bcampbell@trunorthe.com
Fill in fee simple frth Holder on next page (if differem
from the Ourner llsted above)
Name: Steve Nichols
Company:Ericsson. lnc
Address: 6300 Leca6/ D flve
City : Plano
zip Code.75024 Fax:
E_M?il steve nirholsfapri.sson .om
State or County License CGC1518237
Date: _
LUGuIE
-fr
Permit Number: _
Lot No._
Block No. _
8137001 66s70s I s66925 | A2P0049A
Zip Codg; 33323 Fax; _
Phone No. 813-519-9320 E-
State: _g_
PhoneNoL
SU P PLEM ENTAL CONSTR UCNON LIEN LAW I N FORMATION :
DESIGNER/ENGINEER:
Name:
_ Not Applicable
Address:
City:State:
zip:Pho ne
City:State:
Zip: _ Phone:
FEE SIMPTE TITTE HOLDER:
Namg: l&E Hale Enteroriq... tn.
_ Not Applicable
Address:
City:
zip : i145?Phon e:
City:
Zipl 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 prlor to the lssuance of a permit.
SL Lucie Countv makes no reoresentation that is srantine a oermit will authorize the oermit holder to build the subiect structure
which conflicts with anv aoolicable Homeownerslssodalioh rules. bvlaws or and covenants that mav resuid or orbhibit such
structure. Please consult with your Homeowners Assoclatlon and ievlew your deed for any restrlctloils which mav apply.
ln consideration ofthe granting of this requested permit, I do hereby agree that I will, in all respects, perform the wo*
in accordance with the approved plans, the Florlda Building Codes and St. Lucie County Amendments.
The following buildinS permit applications are exempt from underSoing a full concurrency review: room addltions,
accessory stru res, swimming pools, fences, walls, si8ns, screen rooms and accessory uses to another non-residential use
WARNING OWNER: Your fallure to Record a Notice of commencament may result ln paylnt twlce for
lmp ents to your property . A Notice of commencement must be iecorded in the public records of St.
Lu ty and posted on the jo bsite before the first :nspection. lf you intend to obtain financing, consult
er or an attorn before commenci work or recordin r Notice of Commencement.e
as ASent for Owner
uced ldentification
ent.
of
OR
Owner/ Lessee
Name of person makint
(5eal)@31
ryPu(signature of N
Commission No.
Type of ldentification Produced
PeRonally Known
STE\/9 NtcHoLS
MANGROVE
REVIEW
REVIEWS FRONT
COUNTER
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTTE
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev
MORTGAGE COMPANY:
-
Not Applicable
Name: _
Address: _
Pn R^Y ,l
Tetonia
BONDING COMPANY: _Not Applicable
Name: _
Address: _
STATE OF FTORIDA
COUt{TYOF SEI.,IT.DLF
swom to (or affirmed) and subscrlbed before me of A phvstal presence or
-Onllne
Notarlzatlon
tais ?-S aay ot kli lr . z@oy
#
ZONING
REVIEW
I