HomeMy WebLinkAboutRevised_Greene Property_ELE-GEN Application v.0_signedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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: Modifications to existing tower cellular system
PROPOSED IMPROVEMENT LOCATION:3100 N. US Highway AlA -tower
Address: 25500 Minute Maid Rd., Ft. Pearce 34945 - tower (Verizon Wireless Site# 118197)
Property Tax ID #: 1112-441-0001-000-9 Lot No.
Site Plan Name:
Project Name: Verizon Wireless Site# 118197
Block No.
I DETAILED DESCRIPTION OF WORK: I
At existing cellular site equipment platform, provide electrical service for the replacement of generator.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 35,000
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
Pond
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Verizon Wireless - Lessee
Name: Pavel Redko
Address: 7701 Telecom Parkway
Company: Advanced Communications Technology
City: Tampa State: _
Zip Code: 33637 Fax:
Phone No.410-952-3860 -Paul Bailey/Agent
Address:15188 Park of Commerce Blvd, Suite 11
City: Jupiter State: FL
Zip Code: 33478 Fax:
Phone No (561) 771-6677
E-Mail: paul.bailey@caawireless.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail service@advancedcommtech.net
State or County License EC13007510
It value of construction is Z5110 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name: Hugh Redty, PE. 1 CBVR Telecom Design
Add ress: 6505 North Himes Averiue
City: Tampa State: FL
Zip: aaata Phone Tro-m-,zzi3
FEE SIMPLE TITLE HOLDER: Not Applicable
Nantes: Greene Groves and Ranch Ltd.
Address: 2075 3Bth Aye,
City: Vero aeach, FL
Zip, 32960 Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
x Not Applicable
State:
BONDING COMPANY: x Nat Applicable
Name:
Address:
City:
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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any app#icable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that l will, in all respects, perform the work
in accordance with the approved plans, the Florida Building 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 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 jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne before commenciri work or recordin our Notice of Commencement.
Signature of Owner/
Agent for Owner
STATE OF FLORIDA n
COUNTY OFJk Cat
Y5 o to {or affirmed} and subscribed before me of
Ph Ical Preece or Online Notarization
this r ay ❑f 0 VcEM A ` 202f by
NameT n making statement.
Personally Known OR Produced Identification
Type of Identification
License Holder
STATE OF FUMD
COUNTY OF_. i'_
Sworn to (or affirmed) and subscribed before me of
thisP sical Presence or Online Notarization
day of 20gby
Name of person making statement
Personally Known OR Produced I
Type of ld iflcatian }
Produced A tvA Lar[crtC1�.�
{signature bf I' ry Pub]' {Signature f Notary Public- State of Florida }
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CQmmissian NQ, ` , Com f GG 198270
Commission No.#fD�q Seal
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE ,
RECEIVED
DATE
COMPLETED I i