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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 9/3/2021 Permit Number: ) 2 EL- C r ,y . (D s © ; : 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:Wireless-Antenna Upgrade on an Existing Cell Tower P110P@- IIMPRO�UEMENT L C`ArT,ION: Address: 21715 Orange Avenue Fort Pierce FL 34945 Property Tax ID#: Parcel 2208-311-0001-000-6 Lot No. Site Plan Name: Adams Ranch Block No. Project.Name: Adams Ranch D''ETAI.LED D:ESCRIPTI®N QF 1NORK TOVJER'SCOPE OFiWOFtK •REMOVE(3)ANTEL X7�66�ANTENNAS — •INSTALL(3)ERICSSON VZE01 ANTENNAS s •INSTALL(3)ERICSSON RRUS 4449 RRUs ---INSrni L�1°Lo"HYBRID CABLES ti_ New.t(ectr(ca, Second Electrical Meter (Affidavit required) CONSTRUC ION I�N�F�® V.,gTIO,N:: -- 3 ` 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:$ 14,000 Utilities: —Sewer _Septic Building Height: OU1`fNER/LESSEE: , CONTRaCf®RWN v� Name Verizon Wireless Name: Pavel Redko Address:4700 EXCHANGE CT Com pa ny:ADVANCED COMMUNICATIONS TECHNOLOGY IN City: BOCA RATON State: FL Address: 15188 Park of Commerce Blvd, Suite 11 Zip Code: 32667 Fax: City: Jupiter State: FL Phone No. 8138480270 Zip Code: 33478 Fax: E-Mail: edanahy@tepgroup.net Phone No 5Fi1-512-3761 Fill in fee simple Title Holder on next page(if different E-Mail edanahy@tepgroup.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. F1 LEMU DESIGNER/ENGINEER - Not Appljcabie iH{pRTGAGE:COMPANY Not Applicable \ �. :. Nat11e:Jeremy K Wooster Name: . Address:.326`TryonRd' Address; City::,Raleigh. State: Nc City State: ZIp ;ztso3 Phaneaiesstsast _ Zip: Phone: FEESIMPLE:TITLE;HOLDEF ._Not`Appicable BONDINGCOMPANY: _Not.Appl,icable Address:;a H Ranch'.: Name: Name. Po.Box 19026 Address: Cjty?Fart Pierce City: Zip:` 34979' W.Phone: Zip: Phone: OWNER/CONTRACTORAFFIDVtT:Application is hereby made to obtain a,.permit to do the work and installation as indicated. I certify iz that nowork or installation has;commenced prior to the issuance of a permit. St.Lucie CountG'makes no representation that is:granting a permit will authorize the permit holder to build the subject structure which is to conflict-with"any applicable Home Owners Association rules,bylaws grand covenants that may restrict.or prohibit such structure Please.consult with.•ydue Howie Ouvners Association and reviewyour 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 a:pplica`tions 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:Yourfailure to Record a Notice of Commencement may result-:in paying.twice for . improvemems 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 Jritend to;obtain financing,consult wjth e'nder;or an attarhey before commencin ,work or recordin o �,{>j©hid of Commencement. N Al Signature of Owner/Lessee/Contractor as Agent for.Owner No,U��espes "s STATE OF FLORIDA COUNTY-OF St. Lucie. -.�F' 8C IC ,_ N� Sworn to(or affirmed)and subscnbed'before:me,of Physical Presence'i��� g1QL .R7otarization ti,is_Q day;of: September - .2621 fay '�'�►�++►�`"' .Name of person making aternent:.` A. Personally Known- OR.Produced Identification Type of iidentificah n produced Sigoature�of_Nota -°,ublic-State of.Florida Co..mmission No �����2�k��? (Seal) REVIEWS' ,FRONT, ZONING. SUPERVISOR . PLANS VEGETATION SEATURTLE MANGROVE COtJ.NTER REVIEW REVIEW REVIEW REVIEW REVIEW. REVIEW DATE RECEIVED DATE COMPLETED ev