HomeMy WebLinkAboutORIGINAL Building permit application Tower work, DO NOT USEAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Sen�ices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462.1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
Address: 25500 MINUTE MAID RD
Property Tax ID #: 3111-122-0015-000-3
Site Plan Name:
Project Name: A2P0252S
Permit Number:
' - A 4 0
Commercial xx
Modify existing telecommunications equipment (A2P0252S) Tower work appucation
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit —check all that apply:
Mechanical
Electric
_ Gas Tank
Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 121000.00
Name Adams Ranch Inc
Address: PO Box 12909
City: Ft Pierce
Zip Code: 34979
Fax:
Gas Piping
_
_Sprinklers
State:
_Shutters
_Generator
Sq. Ft. of First Floor:
Residential
Block No.
Windows/Doors
Utilities: _Sewer _Septic
Phone No.954-444-2822
E-Mail; bart.simon@towerquest.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Roof
Building Height:
Pond
Pitch
Name: Steve Nichols
Company: Ericsson, Inc .
Address:6300 Legacy Drive.
Y. Plano State: TX
Zip Code: 75024 Fax:,
Phone No954-444-2822
M E-ail steve.nichols@ericsson.com
State or County License C.GC1518237
value of construction is 2500 or more, a RECORDED Notice of Comm
If encement is required:
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required:. � ,
OWNER/ CONTRACTOR AFFIOVIT; Application is hereby made to obtain a permit to do th@work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit,
St. Lucie Count makes no representation that is granting a permit III authorize the ermit holder to build the subject structure
which is In on�iict with an� applicable Home Owners Association rules, bylaws or an covenants that may restrict or prohibit such
structure. Pease consult w t your Home Owners Association and review your deed or 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.
"h following building permit applications are exempt from undergoing a full concurrency review: room additions,
icce sort' structures, swimming pools, fences, wallA, signs, screen rooms and accessory uses to another non-residential use
�'A ING YO E111 Your i���6lure to Lecord a Notice of Commencement may result In paying twice for
i rovements to your property, A Notice of Commencement ust be recorded in the public records of St.
Lu a County and posted on the jobsite before the first inspecAon. If you intend to obtain financing, consult
wit lender or an attorney before commencine work or rewrtll'ins your Notice of Commencement.
Signature of'pwner/ Less@@!Contractor as
STATE OF Cl
COUNTY OF
:
his / day of
Personally Known
T�+pe of Identi8�al
Produce
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Commission
COJNTER
��t���PgIMON iiii
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STATE OF FLORIDA
COUNTY OF "S�1ldl�L-�
Eleven Nichol9
Name of person making stat@meat,
Personally Known OR Produced
Type of Identification
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