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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION (2)All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: ---------Permit Number: -------- Planning and Development Services Building and Code Regulation Division Building Permit Application 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ------------ PERMIT APPLICATION FOR: 3206 Enterprise Road, Ft. Pierce, FL PRQP©SED IMPROVEMENT LOCATION: · Address: 3 206 Enterprise Road, Ft. Pierce, FL Property Tax ID #: 2428-133-0001-000-6 Site Plan Name: Pl Fort Pierce Project Name: Lot No. ___ _ Block No. 28/35S/40E ---------------------- DETA·ILED DESCRIPTION OF WORK: Constructing a new wireless installation· Installation of (6) d · · · · · propose antennas on ex1st1ng tower,mstallat,on of (2) proposed equipment cabinets, installation of (1) proposed PPC, Installation of (1) proposed GPS antenna installation of (1) d k r h · · ' propose wor 19 t, installation of (6) proporsed RRUS, installation of (1) proposed fiber cabinet, installation of (2) proposed trunk cables New Electrical Meter _____ Second Electrical Meter _______ (Affidavit required) / CONSTRUCTION INF0RM ATION:' Additional work to be performed under this permit -check all that apply: _Mechanical Electric Gas Tank _Plumbing _Gas Piping _ Sprinklers Total Sq. Ft of Construction: ________ _ Shutters _ Windows/Doors Pond Generator Roof ____ Pitch Sq. Ft. of First Floor: ----------- Cost of Construction: $ _________ _ U ti Ii ties: _ Sewer _ Septic Building Height: ____ _ . CONTRACTOR: Name __ s_iN_er_u_ne_P_las_tic_s_co_rP ________ ____; ___ _ Name:._.....:D::....a=n:..:.....:....A..:..:u=lt-=-------------- Address:. __ oo_o_Ri_ve_rs_ide_o_r ____________ _ Company: Olin Wayne Companies Inc City: _A_sh_ev_ille ___________ State: ..::::..._ Address: 3060 ORANGE GROVE TRAIL Zip Code: __::.2aa:..:..c..04 _____ Fax: ________ _ City : NAPLES State:~ Phone No. ________________ _ ZipCode: 34120 Fax: ______ _ E-Mail: _________________ _ Phone No 239-776-5884 fill in fee simple Title Holder on next page ( if different E-Mail DANAUL T@OLINWAYNECOMPANIES .CQ from the Owner listed above) State or County License.~C~G===-C~15~2:!2=-1w.7...=3:;,__ ____ _ 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. Iillitl~!{:~ilr~-JHlll~~~il~ltf~1!~li!l?fiit~~~i'i DESIGNER/E~GINEER: _ Not Applicable MORTGAGE COMPANY: N~t A" ·ji~~b-l~· · , · Name: APX Eng,neerlng Group Name: -pp Address: 14471 Miramar Parkwal Address: City: Miramar State:£!:__ City: State: Zip: 33027 Phone 954-744-1538 Zip: Phone: - FEE SIMPLE TlnE 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 commenced prior to the Issuance of a permit . . St. ~lide Count(i makes no representation that ls granting a faermit will authorize the germit holder to build the subject structure which ls In con llct with anX applicable Home Owners Assoc atlon rules, bylaws or an covenants that may restrict or prohibit such structure. Please consult w th your Home Owners Association and review your deed for any restrictions which may apply.· In consideration of the granting of th.is requested permit, I do hereby agree that t 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 str_uctures, swimming pools~ fences; walls, signs, s~reen 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 commencing work or recordin.R vour Notice of Commencement . . ~&ke · .. ·· ' .. Signature of Owner/ Lessee/Contractor as ~ent for Owner STATE OF FLOR~. . COUNTY OF . ' \ cwn \ -~d--e Swo~or affirm~ a0iubscrlbed befo\e me of this day of O , 20.11 by _·_Physical Presence or K, Online Notarization :kl lJrtLJ. . Name of person making statement. Personally Known~ OR Produced Identification Type of ldentiflcat on Produced ()v,M~M (W ) {Signa j uralof Notary Public-State of Florida) ---- Commission No. Oo<33S) -(S eal) --. (' ---1 Motl,Y Public • Stitt d florlda I . m Commission' HH 06135k. • i My comm. [xplr11 Otc 1, 2 ' • -··"eondtd t~ MatloMI llctllY """· REVIEWS FRONT ZONING SUPERVISOR PLANS . VEGE TATION SEA TURTLE MANGROVE COUNTER REVIEW REV IEW R.EVIEW REVIEW REV IEW REVIEW DATE RECEIVED DATE COMPLETED ~ev 5/20/Ll