HomeMy WebLinkAboutBuilding Permit Application All,APPLICABLHNFO`MUST OEC tjcAtiON.T,D BE ACCEPTW-
Date::= 2 PermitNumber:
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_... , Buiid` n Permit licdtioln
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Ptan ping ond;Devel6pment Se,`rvicet
Building,and`t'bdef3eg"ulafrontivision; CQft1R1 FG1aI RC'S1dOntial
-23oo,Virginia'Avenue,ForrPierce-&34R82
Phone,,(772)462-1,553 Fax:(772)4,62-15?8
OER`MIT APPLiCAT(ONi FO.R
PFtQRQSE `IMPROUEMETtaCATlQN: :'
Address. 25500 MINUTE MAID.F:D
Property."Tax ID:#:1112441 0001 .600=9 Lot-;No.
Site Plan Name; Bfock No:.
,r.,ojectName;,-A2PO251S ;
QETAILE�? DESCRl�TId(V OF�1AlORK� � �' � ,' �
Modify.existing;telecommunications;equiprnept.(A2130251S) Tower Work
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Nevtir ,Electrica(Meter• Second:Electrlc4M.eter
CONSTRUG1"It}N INF,QRMATION
Additional worktabe performed: under this;permit.—check:all that apply:.
Mechanical GasTan.k Gas Piping Shutters, W ndows/Doors _Pond
i
Electric ,_Plumbing Sikinkler`s _Generator Roof Pitch
TotalSq:Ft af;Construction:a S.q;,Ft.of First:Floor. _
Cost of.Construction:,$.12,0OQ.00 Utilities:: _ Sewer _Septic Building Height:
` 'OWNER%LESSEE` �'� _" � ' ` �CONTRA►�T'QR. � �;
Name Greene_Groves and Ranch Ltd: Name Steye;Niehois
Address.2075 38thAve: Co.mpany:Ericsson;;Inc
City:Vero Beach Stater Address:6300 Legacy Drive
32960 Plano. TX
Zip::Code; Fax: City: State:
Phone;N054444.=2822 Zip Code, 75024 Fax:
E IVla l;bartstmon@towerguest.cam_ Phone N0;352-446-1241:
Ffll;in fee sirtiple Title iiolder_on,next.page.(if different E,-Mailsteve.nichols@(§ricsson.corn
from the'Owner,listed'above) State or County License GGG1,51823Z
S4 61
If value o£construction;Is 2500 or mare,a RECORDED Notice of tom r encement is required:
if value of HAVc ls.$7,500 or more,a:RECORDED Notice of Commencement is required:
SI,�P��: M�N�'AI�,Ct�C�STRtJC�TIC?�i'Lt�N� W��tf��R ,�'�1�►�t. � � �� 5 �� ��� "�:` �^' R '� �'A
DESIGNER/ENGINEER: Not:Applicable MORTGAGE�COMPANY:• x— Nat Apphcatle:
Na me:sA,w cR&neat rig.
'Name
_ Address: .Address.
Gty:'. State City:"
".State•_ _
Phone; Zrp: Phones
FEESIMPLE TITLE HQLDER•' X Not'Applicable BQf+lDING COMPANY:` X�Nat Applicatife
Name: Name: _
Address: _; Address
City: city:+
Zip: Phone: Zip.;. Rhone:
OWNER]CONTRACTOR AFFIDVITi Application is Hereby made to abtain.a°permit`to do the work and installat►on:'as indicated.
I certify thatno:work or-installation has`conimenced p[ior to:the Nsuance;of a;;permit..
St Lucie Codn',makes no.'representatiomthaCis granting a oermitwill authorize the permit holder to bwld the subject structure•.
which:is in conffl], with any°applicable Home Owners Association.rules;bylaws or,an covenants that may.restrict.or prohibitsuch
structu[e,Ploaseconsultwith your Home:Qwners Association';and�eviewyour deed;for any restrictions which may"apply_
l6consider"ati6n'6f'the.'gfanting of this;requested"peirinit,I,do hereby agree that'I will,in alfroipe.cts,perform the'wark:
in accordance:w`tfi the:approved ptans,;the'Flor da_i3uild ng Co,"des and-St.Lude;Count , nidndments;
The:following buildingpermit applications'are exempt.from'undergoing:a fullconaurrency`rev!ew'room additions,.
aces 'ory struciures,_swimming pools;fences walls,signs,scteen:rooms and occessory uses to.another;n0n residential_-se
WAR ING TO OWNER Your failure t(jrAeddrd aT Notrce of Commencer .cent rrisy result'in paying twicefior
is proyentents.to your property A Notice of`Commencernent ust.be�recorded in the public records,of'St.
La ie County"and'posted on.the�obsite before th6,1'6si inspec on.If yola;intend to obtaln'financing - -onsult
wf lender oran:attorne "before;cornmencrn ;work or r. r n` our Notice of Commencement. . .
N4
Signature wnerJ Lessee/Cor�trackor asAgent for Owner Signa .r of cop# ctor/License Hoiden
STATE OF ,t. Rt STATE OF FLORIDA;.
COUNTY 0 ` . C'=- CQUNTY'QF
Sworn to(or affirmed)and subscribed before me of Sw rn.to'(or affirmed);,and.subscribed before;me of
PhysicalPr ence Online Notarization .Physical Presence.or Onlirie'Notarization`
this `L day o. 202 by th s, t day,of
111111/lll�j
Name of person=making statr%A�t:.o �tssloy �i Name of person making`statement.
P:ersonallyKnown., ( #`Prgtid ldent�fica • . Personally Known QR.Produced Identifica '
Type of ldentifi`cab,n * : �" — Type of ldenfification
Produced _ G9866;4 Pro uced• o
io9 o�'y'�ndedat�t�tic�0,y'+��� - ,b
(Signature of N tart'.ubl'c=. ry�, STASE4����\\\` (Si nature.of Notary Pu lit State of Florida•.)
Commission•N ��tL/(S�t81j111\!1� CammiSsion No:,l. 7° �, (Seal). • &
REVIEWS FRONT ZONING SUPERVIWR PLANS VEGETATION SEA TURTLE. MANGROVE
COUNTER REVIEW REVIEW. REVIEW, REVIEW` REVIEW REVIEW
DATE
RECEIVED'
DATE
-COMPLETED r `
ev.