HomeMy WebLinkAboutADAMS RANCH_237546_16280499_BP App Pg 1_10-07-2021All 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 __________ Residential ___________
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: __________________________________________________________________________________________
Property Tax ID #: ________________________________________________________________ Lot No.__________
Site Plan Name: __________________________________________________________________ Block No. _______
Project Name: ___________________________________________________________________________________
DETAILED DESCRIPTION OF WORK:
_________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
New Electrical Meter __________ Second Electrical Meter_______________ (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – check all that apply:
__Mechanical __ Gas Tank __ Gas Piping __ Shutters ___ Windows/Doors ___ Pond
__ Electric __ Plumbing __ Sprinklers __ Generator ___ Roof __________ Pitch
Total Sq. Ft of Construction: ___________________ Sq. Ft. of First Floor: _________________________
Cost of Construction: $ _____________________ Utilities: __ Sewer __ Septic Building Height: __________
OWNER/LESSEE: CONTRACTOR:
Name__________________________________________
Address:________________________________________
City: _________________________________ State: ___
Zip Code: ______________ Fax:____________________
Phone No.______________________________________
E-Mail:________________________________________
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:_________________________________________
Company:_______________________________________
Address:________________________________________
City: ______________________________ State:____
Zip Code: ________________ Fax: __________________
Phone No_______________________________________
E-Mail__________________________________________
State or County License____________________________
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.
X
9/3/2021
Wireless Antenna Upgrade on an Existing Cell Tower
14,000
Verizon Wireless
4700 EXCHANGE CT
BOCA RATON
32667
FL
8138480270
ADVANCED COMMUNICATIONS TECHNOLOGY INC
Pavel Redko
15188 Park of Commerce Blvd, Suite 11
Jupiter FL
33478
561-512-3761edanahy@tepgroup.net
CGC1521987
TOWER SCOPE OF WORK:
• REMOVE (3) ANTEL X7-666-4 ANTENNAS • INSTALL (2) RAYCAPS
• INSTALL (3) ERICSSON VZE01 ANTENNAS RHSDC-6627-PF-48
• INSTALL (3) ERICSSON RRUS 8843 RRUs • INSTALL (2) RAYCAPS
• INSTALL (3) ERICSSON RRUS 4449 RRUs RVDC-4520-PF-48
• INSTALL (2) 1%"' HYBRID CABLES (IN EQUIMENT ROOM ON
GROUND LEVEL
GROUND SCOPE OF WORK:
• REMOVE (1) 6201 CABINETINSTALL (1) GE INFINITY DC POWER PLANT
Adams Ranch
Adams Ranch
Parcel 2208-311-0001-000-6
21715 Orange Avenue Fort Pierce FL 34945
edanahy@tepgroup.net
*Cabinets will be factory color