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HomeMy WebLinkAbout118197_Greene Property_ELE Application v.0_signedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ILU O 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: Modifications to existing tower cellular system PROPOSED IMPROVEMENT LOCATION:3100 N. US Highway AlA- tower Address. 25500 Minute Maid Rd., Ft. Pearce 34945 - tower (Verizon Wireless Site# 118197) Property Tax ID #: 1112-441-0001-000-9 Lot No. Site Plan Name: Project Name: Verizon Wireless Site# 118197 DETAILED DESCRIPTION OF WORK: At existing cellular site equipment platform, remove/replace generator. Block No. 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 _ Generator ^ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 35,000 Utilities: —Sewer —Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Verizon Wireless - Lessee Name: Pavel Redko Address: 7701 Telecom Parkway Company: Advanced Communications Technology City: Tampa State: Address:15188 Park of Commerce Blvd #11 Zip Code: 33637 Fax: City: Jupiter State: FL Phone No. 410-952-3860 - Paul Bailey/Agent Zip Code: 33478 Fax: E-Mail: paul.bailey@caawireless.com Phone No (561) Fill in fee simple Title Holder on next page ( if different E-Mail Kristee9advanced commtech.net from the Owner listed above) State or County License EC13007510 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: L1 :11LMN 4117A:101 1014:1 ca Name: Hugh Reilly, P.E. IMA Telecom Design Address : 6505 North Nimes Avenue City: Tampa State: 34949 Zip: a3014 Phone n0-e53-1233 FEE SIMPLE TITLE HOLDER; � Not Appi Name: Greene Gmves and Ranch Ltd. Address: 2075 AM Aw, City. Vero Beach, FL Zip- 3 Phone:. MORTGAGE COMPANY: x Not Applicable Name: Address: State: Phone: i COMPANY: x Nat Applicable 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. 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. In consideration of the granting of this requested permit, I do hereby agree that t wilt, 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 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 yot JJo obtain financing, consult with len5gr or an attorney Before com me nci ing work or recordin our m o mencement. _ 'i +S Signature of Owner/ L see/Contrac or a Agent for Owner STATE OF FLORIDA COUNTY OF Syrgmto (or affirmed) and subscribed before me of �C PhXsical Presepce or Online Notarization this day of c 2024 by Name dt person making statement. Personally Known OR Produced Identification Type of tden tifi cati o n Produced it /License Holder STATE OF FLORIDA COUNTY OF }� Sworn to (or affirmed) and subscribed before me of 'C Physical Pres r Online Notarization this 73 ay of 40W b_ �Z y �t _�bj Ito ri Name of person making statement. 1I x Personally Known OR Produced Identification f Il n Type of Ide cation — z -_ Produced %WA „1ACvgr0— r lC 1 ■ x Y ui t.3Frna L U t t!%W- tv LTEdt y ru4il -3 ram-orFrarrcra CLAiI6E I E f1Aid'lE 5A8pL Signa re of Notary Public- State of Florida j f4 •+:.:�e;,, : i GG 198270 Commission No&; O► . s� l`�`s� " j ommisson No. ±i4. ©S9L( 8 �_a14,2�J22 33 {Seal] ....... 3cic:i T.".­; -:c; Fa!:l fnu'a::ea fi00$$$4� REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED]