HomeMy WebLinkAboutWINDRIOBRA351_813722_MIMIA00169A_551657_BPEPNOCAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _______ _ Permit Number: _______ _
Crown -813722 Dish -MIMIA00169A App -551657
Planning and Development Services
Building and Code Regulation Division
Building Permit Application ✓ Commercial Residential -----------2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
CBDG Funding ___ _
PROPOSED IMPROVEMENT LOCATION:
Address: 12888 lndrio Rd.
Property Tax ID#: 1308-233-0025-000-5
Site Plan Name: W INDRIO BRA351
Lot No. ___ _
Block No. __ _
Project Name: _________________________________ _
I DETAILED DESCR[PTION OF WORK:
Co location
New Electrical Meter ____ Second Electrical Meter ______ (Affidavit required)
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical
� Electric
Gas Tank
_Plumbing
_ Gas Piping
_ Sprinklers
Shutters _ Windows/Doors
Generator Roof ----
Pond
Pitch
Total Sq. Ft of Construction: ______ _ Sq. Ft. of First Floor: _________ _
Cost of Construction:$ --------Utilities: _ Sewer _ Septic Building Height: ___ _
OWNER/LESSEE: CONTRACTOR:
Name Crown Castle Name: ----------------Address: 2000 Corporate Dr. Company: New Tech Construction Corp City: Canonsburg State: PA Address: 1579 Barber Road Zip Code: 15317 Fax:________ City: Sarasota State: FL Phone No. E-Zip Code:34240 Fax: ______ _ Mail: bjones@tepgroup.net Phone No (941)485-8988
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail dennis.lawler@ntctowers.comState or County License SCC131151517
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.
W INDRIO BRA351
8 34 39 BEG AT W 1/4 COR OF SEC, RUN N 0 DEG 20 MIN 54 SEC E ON W SEC LI 360.33 FT TO PT ON SWLY R/W I-95, TH S 36 DEG 33
MIN09 SEC E ON SD R/W 3834.40 FT TOPT ON S SEC LI, TH S 89 DEG 40 MIN 28 SEC W 2302.98 FT TO SW COR OF SEC, TH N 0 DEG 21
MIN 35 SEC E 2699.37 FT TO POB-LESS CANAL R/W- (79.19 AC) (OR 3666-2413)
W INDRIO BRA351