HomeMy WebLinkAboutBUILDNG PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
913(t/p2�021 Permit Number:
Datez::
jj
�_ llo Lr�UIJLtI�i - t
ev 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 (Ground Work)
Em
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
112111"s • INSTALL(2) RAYCAPS 'Cabinets will be factory color
S RI1SDCE627-PF48
s
• Us — RVDC-0520-PF48 - - -
• IN EOUIMENT ROOM ON
GROUND LEVEL
GROUND SCOPE OF WORK:
•REMOVE(1)6201 CAEINETINSTALL(1)GEINFINITY DC POWER PLANT
New Electrical Meter Second Electrical Meter (Affidavit required)
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_X_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1 '000 Utilities: -Sewer Septic Building Height:
Name: Pavel Redko
Name VeriZon Wireless
Address:4700 EXCHANGE CT
_
Company: ADVANCED COMMUNICATIONS TECHNOLOGY IN
City: BOCA RATON State: FL
Address: 15188 Park of Commerce Blvd, Suite 11
City: Jupiter - State: FL
Zip Code: 32667 Fax:
Phone No. 8138480270
Zip Code: 33478 Fax:
E-Mail: edanahy(c_Dtepgroup.net
Phone No
Fill in fee simple Title Holder on next page ( if different
E-Mail edanahy@tepgroup.net l{nCkkVP- -
State or County License EC13007510 6.6VgPCQIA—
from the Owner listed above)
Cb
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.
S�
DESIGNER ENGINEER: Not Applicable
MORTGAGE COMPANY Not Applicable
Name:'Jemmy, K wooster
Name:
Addressf 3261ryonRd
Addres§;
City: Raleigh State: NC'
City: State:
Zip: 27603 Phone 91198616351
Zip: Phones
FEE SIMPLE TITLE HOLDERS Not Applicable
BONDING COMPANY, Not Applicable
Address: a H ns❑ch
Name:
Address.
Name: POSOX1420
City:
City: FortPreme
Zip: a4979 Phone:
Zip, Phone;
OWNER/ CONTRACTOR AFFIDVIT: 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 yy makes no representation that is granting apermit will authorize the ermit holder to build the subject structure.
which is in conflict with any applicable Home Owners Association rules; bylaws or anid� covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed fc r any restrictions which may apply.
In consideration of the granting of'this requested permit,.I do hereby agree that f will, in all respects, perform the wort(
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing full concurrency review: room additions,
accessory structures, swimming pools, fences,: walls, signs, screen rooms and accessary uses to, another non-residential use
WARNING TO OWNER; Your failure to 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 }obsite before the first inspection. if you intend to obtain financing, consult
with lender or an attorney before commencing: work or recordin -o ,6oi i of Commencement. .
yO
tF,9
Signature Lessee/Contractor Agent for Owner
ofb*npr/ as
STATE OF FLORIDA
COUNTY OF St. Lucie.
Sworn to (or affirmed) and subscribed before me of x Physical Presenc '45QFB1,g1,}�otarization
this „nday of S,ptember .2021E.by.
Name of person making s afement.
Personally Known Y OR Produced Identification.T
Type ofld niti icati n roduced
i ign�f Nota ublic- State of Florida j
commission No. 4rrr=A2 A ttu (Seat) .-.
REVIEWS
:FRONT
ZONING'S.
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE <
....
RECEIVED
DATE'
COMPLETED
Te-V-572072I-