HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED,FOR APPLICATION TO BE ACCEPTED
r 09.28.2021 I
Date: _ Permit Number:
N- "n,T �Y'=`v' RECEIVED
i
Building Permit Application
OCT 0 4 2021
Planning and Development Services St.Lucie County
Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial x Residential
PERMIT TYPE: Commercial
PRO.PQSED IMPROVEMENTf.'IOCATION,:;
Address: 12600 Harbour Ridge Blvd. Palm City, FL 34990
Property Tax ID#: 4425-605-0003-000-5 Lot No.
Site Plan Name: Harbour Ridge Block No.
Project Name: Harbour Ridge
DETAILEDDESCRIPTION OF`"WORK
,.
A new wireless telecommunications support structure 124' Unipole and 2,500 S.F.fence compound for
unmanned wireless data telecommunication facilities.
CONSTRUCTION INFORMATION
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: 2,500 S.F. Sq. Ft.of First Floor:
Cost of Construction:$ 275,000 Utilities: —Sewer —Septic Building Height: N/A
OWNER/LESSEE �rV 'CONTRACTORf f
Name Vertex Development, LLC. Name: William L. Brown III
Address: 3630 W. Kennedy Blvd. Company: Expert Construction Managers, Inc.
City: Tampa State: FL Address: 815 S Kings Ave.
Zip Code: 33609 Fax: N/A City: Brandon State: FL
Phone No. 813.335.4768 Zip Code: 33511 Fax: 813-571-0875
E-Mail: alanruiz@vertexdevelopment.net Phone No 813-657-7810
Fill in fee simple Title Holder on next page(if different E-Mail Bill@Brown.org
from the Owner listed above) State or County License CGC1504255
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL,CONSTRUCTION LIEN LAW INFORMATION
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: X Not Applicable
Name: USA Engineering/Marc Maier P.E. Name:
Address: 2818 Cypress Ridge Blvd. Address:
City: Wesley Chapel State: FL City: State:
Zip: 33596 Phone 813.994.0365 Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: X Not Applicable
Name: Harbour Ridge Yacht & Country Club, Inc Name:
Address: 12600 NW Harbour Ridge Blvd. Address:
City: Pam City City:
Zip: 34990 Phone: 772-336-8908 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 applicable 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 I 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 YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT."
Sig na ure of Owner/Lessee/Co trac as Agent for Owner Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA i
COUNTY OF HILLS13014 U 61 ti' COUNTY OF J S b O rQ ct Y 1
The forgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me
this2.8 ay of f A�(iY 2021 by this��day of September ,20 21 by
l Can. TZ,U 1� lam!/!//i a),7 L �'�+'o�„ T_TT".
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identificatio Type of Identification
Produced Produced
opublic State of Florida
Jennifer C Frost Nowy Pybk State of Florida
M Commission GG 325101 Dabs Qmdno
+gip a�`' Expires 08l0412023 ��� �� MH 053711
Sign re of Notary c- a e o or Mid a) (Signature of Notary P
Commission No.((h 326101 (Seal) Commission No. 053711 (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE _........ ..
COMPLETED
Rev. 217119