HomeMy WebLinkAboutBuilding Permit App - 118205_FHP Substation_ELE Application v.0_signed All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: rr Permit Number:
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
PERMITAPPLICATION FOR:Modifications to existing Verizon Wireless cellular system
PROPOSED IMPROVEMENT LOCATION:2929 N 25th St, Ft. Pierce 34946
Address: 2929 N 25th St, Ft. Pierce 34946 - tower (Verizon Wireless Site# 118205)
Property Tax ID ii: 1112-441-0001-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Verizon Wireless Site# 118205
DETAILED DESCRIPTION OF WORK:
At existing communication tower site,equipment pad, remove/replace communication cabinets.Also install non-electrical support device.
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:$ 21,000 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, Suite 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) 771-6677
Fill in fee simple Title Holder on next page(if different E-Mail service@advancedcommtech.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:
DESIGNER/ENGINEER: Not A Iicable E
pA
Name:Hugh€�e�r€y,n.c.icevla Telecom Design MORTGAGE COMPANY: x Not ApplicableName:
Address:a5o5 Narsh HimesAvenue Address:
City: Tame State: FL City: State:
zip. 336f4 Phone 770-853-1233
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: x Not Applicable
N a m e:Tr int Imp Trust Fund
Name:
Address:3900 Commonwealth Blvd Address:
City:Tallahassee,FL City:
zip: 37ass 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. 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 I 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:roam 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 you intend to obtain financing, consult
with lender or an attorney before commencin work or recording your No ' of Commencement.
L
Signature of Owner/Lessee/Contractor as Ag t for Owner Signatur or/License Holder
STATE OF FLORIDAn STATE OF FLOI+l
COUNTY OF ,AI-A Cl.{— COUNTY OF "rcQy,n a
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed) and subscribed before me of
13V!Cal Presence or Online Notarization �( Ph ty ical Pre nce or Online Notarization
t is day of S�I?C�c u�xY2 by this (odd
of 2(3 by
lKQ
Name of person iL " VG�e� _
i
making statement. Name of person making statement _....
Personally Known OR Produced Identification Personally Known OR Produced Identific
Type of Identification Type of I Ification 1
Produced Produced y4 GAtsw
A
(signature of otary Rubli �'bFfil Signatur of Notary Pub is State of Florida x
ro 4:'Uan. CLAUDETTE l4ARIE SASOL ) r+
Commission No,C Z' :,: :�=Cor #GG 9962it3 I ommission No. '� 4 ���� Seal ����
Wifes N,ay!4,2M ( Cr
Bolded Tt.rs Troy Fa,Insurana
a= �
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE A qG R )
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW RE CIE
DATE
RECEIVED
DATE
COMPLETED
ev.