HomeMy WebLinkAboutBuilding Permit Application4 �e
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All APPLICABLE;INFO MUST BE ,COMPLETED fFOR i1PPLICATI0N TO BE ACCEPTED'
Date tOj1s/2o21 PermitNu►nber: ` NU 'LQ9
L d" RECEIVED
'EBEAM
BluM ng Permit Apphcat In
R!anniny and DevelopmentSery cgs ounty, Parmitting
ST.. "Lucie C
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Buridmg,ond Cdde Regulation Division' COt17f11erdal _X .. , `` : ` ie5ldeCltla) "
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2300- rgmioAvenue, Fart Pierce FL 34992
Phone;`(772) 462=1553 Fax: {772} 462 157$' CBDG FUtlCiltlg
.PERM'ITAPPLICATION FOR:
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Address;.9650 South Ocean Drive, Hutchinson island' FL 34967
Property Tax ID #: 4502-61Q-OD00-000/6 Lot -No.
Site Plan Name <T Mgbile Site Wdificaiton: A2P0018B. " - Block NO.
Project Name ;A2P001$B"
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Remove (12) existing antenna add (6)•anteona.-Remove (12) remote radios; -add (6).' mote radio. remove all existing "
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cables and repl'ace with' (3) new, hybrid°cab(es:•
Neinr Electrical.Meter .. 'Second, Electrical Meter {Affidavit;requrgd)
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Additional work, be performed , Gunder this permit- check all that apply: -
_Mechanical` = Gas Tank :Gas'Piping '° - _ Shutters. _ Windows/Doors _ Pond
X. Electric t:._ Plumbing _e5prinklers� . ` _Generator"_Roof Pitch
-Total Sq. Ft of Construction; _existing Sq. ,Ft:`of Fiist Floor: NA. '
Cost of Construction: $ ,-.$65jO,W ind electrical-', . . Utilities: = `Sewer. _Septic; Building Height: 196''
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NameT-Mob,le
Name: Steve Nichols
Address; 5901ABenjamin Gente[ Dnve,,Suite 110 A-B
Company.- .Ericssbn
City: Tampa State: FL
Address:` 5300 Le aaQt Dr.
p Code; Fax: �.
a
Gty to
_Plante St
Phone No: 815-909-8995 ,
Zip Code:: 7sr� Fax:
E-Mail niatthew.miller@smartlinkgroup.conr'
Phone No 469-476-6637, •
.
FillJnfee sample Title Holder on nextpage ;(ifdiffereitt
E-Mail " steve.nicholsCc�ericsson.com
.
from the Owner listed above}
State or County License., GC1518237
If value of construction is 2500 orinore. a RECORDED Notice of Commencement -is required.
tfvalue of HAVC ,s $7,50U or ores a RECORDED Notice of Commencement is required. ,i3LUEBEA
IV00RTGAGE:COMPANY.:°
,y yy t wi �L .'xAe'5.3/
��ln`t3' fka� EMIR,
ik. at'i�+i {,:..i..#�y .\
Not,Applicable '
,DESIGNER/ENGINEER NotApplicabte
,Namet. USA'Erigineering,.
Name: ^NA ' _
Address: 2818Cypress'Ridge,Boulevard,Suite11-6- :-Address:
-
City: Wesley Chapel. —'State'," , "State:` FL
city,
tale:
.p.Ph
Zr, 33544 one g13-9940365 �^'�
Zip
Z�_- _ Phone.,
.
FEE°SIMPLE TITLE HOLDER: Not'Applicable
BONDING COMPANY;
Not Applicable'
NarTteJhe Princess Condominium Association yof Hutchinson Island Inc'
"Name:
Address: 9650S,Ocean Drive - ; "
Address-
Cliy:. ►ensen Beach FL .-, " ..
City
Zip:.34957 Phone:1(7121229-9690 `
Zip:.' Phone:
Vw1YtK/ C:VIYTRAGT0111"AFFID1PtT Application is'iiereby 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 Countymakes no representation that is granting a permit will authorize the permit holder to build the subject structure
which conflicts with any, applicable HomeownersAssociat!on rules, bylaws or and covenants that may restrict or prohibit such
structure. 'Please consult with your HomeownecsAssociationang review your deed for any restrictions which may apply.
In consideration of the granting of this requested, permit, I do hereby agree thatfwill, in'all.respects, perform the work
in accordance with'the approved plans, the ;FloridaBuilding 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'OWIIIERc,Your failureao 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 orrecording our Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA. _
COUNTY OF Pt me dies -
Sworn to (or affirmed) and'subscribed before me' of ,,�Physical. Presence or Online Notarization
this I-3_ day of O C4VJoe r .; 20_aL by
Rri%kinee Z,1rrm"err�n�;i1
Name of person -making statement.
Personally Known' ✓ OR.Produced Identification
Type of,liientification Produced
s (Signature of NotaryPublic-,State of Florida) Ivy
-Commission No. N �' J�iv $ q 7, Notary Pub state Ftoilda
(Seal} Andrea M Wilcatiom ,
'. My Commission NH i48897
" 'br expires ov0912025