HomeMy WebLinkAboutBuilding permit application ground workAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 4624578
Address: 25500 MINUTE MAID RD
Property Tax ID #:
3111-122-0015-000-3
Site Plan Name:
Project Name: A2P0252S
Commercial xx
Permit Number:
Residential
Modify existing telecommunications equipment (A2P0252S) Ground work application
New Electrical Meter
Second Electrical Meter
Additional worl<to be performed under this permit—checl<all that apply:
Block No.
_Mechanical . Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 12,000.00
Name Adams Ranch Inc
Address: PO Box 12909
City: Ft Pierce
Zip Code: 34979
Phone No.954-444-2822
Fa
E-Mail:
bart.simon@towerquest.com
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Name:Steve Nichols
Company: Ericsson, Inc
State: Address:6300 Legacy Drive
City: Plano State: TX
Zip Code: 75024 Fax.
Phone No954-444-2822
Fill in fee simple Title Holder
on next page (if different
from the Owner listed above)
E-Ma i I steve.nichols@ericsson.com
State or County License CGC1518237
If value of construction is 2500 or more, a RECORDED Notice of Commencement is requirea.
If value of HAVC is $7,50Q or more, a RECORDED Notice of Commencement is required.
OWNER/ CON7R�ICTOR (fiFFipViT; Application is hereby 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 Count makes no representation that is granting a �aermit %II aut�orize the ermit holder to build the subject structure
which is In on ict with an ppiicable Nome Owners Assoc ation ru es, by aws qr an covenants that may re trict or prohibit such
structure. Pease consult w It your Nome Owners Association and review your deed or any restrictions whic i 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.
Th following building permit applications are exempt from undergoing a full concurrency review: room additions,
acce sort' structures, swimming pools, fences, walls,, signs, screen and accessory uses to another non-residential use
41�wA-- ING "O �� 01111' Your fk lure to Lecord a Notice of Commencement may result in paying twice for
i rovements to your property. A Notice of CommencementI�nnust be recorded in the public records of St,
Lu a County and posted an the jobsite before the first inspec�ion. If you intend to obtain financing, consult
wilt nr an attnrnpV Afore commencine work or remorttiilne vour Notice of Commencement.
Signature of'Qner/ Lessee/Contractor as Agent for Owner
Name of person
Personally Known
Type of Identifi�a�
,SIMON
0®
S rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
thisZ day of ,14VA VS , 2020 by �
OR ,
identificatione of
ar
(Signature of Vota Pu ic- off odddi�a` a0r�' �c" � ��•rq�
ry � (Si nature of Notary Pu lic-State of Florida) '2
Commission �Cmmission No.rs4
REVIEWS GOJN ER I REVIEW I S REVIEWOR ( REVIEW I VEGETATION (5 � v,UE`RNTLE l MANGROVE