HomeMy WebLinkAbout118205_FHP Substation_BP Application v.0_signed All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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#: 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, modify 6 antennas and mounts.Also install non-electrical support devices.
At 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 CGC1521987
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:
DESIGNEE/ENGINEER: _ Not Applicable MORTGAGE COMPANY: x Not Applicable
Name:Hugh Reilly,P.E.f CBVR Telecom Design Name:
Address:5505 North Himes Avenue Address:
City, Tampa State: FL City:
Zip: 33614 Phone 770- 553-1233 State:
Zip: Phone:
I
E SIMPLE TITLE HOLDER; Not Applicable BONDING COMPANY: x Not Applicable
ame:Tr Int Imp Trust Fu" Name:
ddress.39oo commonwealth Btvd Address:
ty:Ta€iahassee,rL City:p: 32399 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 noywork or installation has commenced prior to the issuance of a permit.
wh which is iCounty
oco tlirctt with any applicable(Home Owneat is rs Association onrultes bylaws or andpcovenants that mazy restrict subject
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: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 you intend to obtain financing, consult
with lender or an attorney before comrnencin_ work or recordin our No mencement.
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Signature of Owner/Lessee/Contractor as Age for Owner Signature of n License Holder
STATE OF FLORIDAnn STATE OF FLO ID
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ffff 5wor to(or affirmed)and subscribed before me of I Sworn to(or affirmed and subscribed before efare me of
Phsical Presence or Online Notarization �Physical Prese ce or Online Notarization
this day of Sc ie . by this 'Wday of 20M by
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Name of person making statement. {Jame of person making statement.
Personally Known_ pR Produced Identification Personally Known OR Produced Identi
Type of Identification Type of Id fscation
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